NPI | 1184947475 |
---|---|
Former Legal Business Name | ICS |
Entity Type | Organization |
Authorized Contact | SIMON CASTELLANOS CEO 601-988-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 251F00000X Home Infusion (Licence: MO LC1021172) |
Enumeration Date | 2010-03-01 |
Last Update Date | 2021-11-02 |