| NPI | 1154638948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ALFORD President 662-801-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2017-01-05 |