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 |