| NPI | 1225133093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK H MILLS Owner Vice President 229-524-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-12-13 |