| NPI | 1164583704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE JAMES ADAMS Owner 601-414-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 0527106) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |