| NPI | 1184853087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON WALTERS Owner/Manager 601-573-9712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |