| NPI | 1154394476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LOGAN Director Of Operations 662-329-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-10-27 |