| NPI | 1215221395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUREE E COX Administrator 601-624-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |