| NPI | 1144280041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON E JOHNSON CEO 601-426-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 01723/11.1) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-08-16 |