| NPI | 1225220437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY MACK HARDY CEO 662-301-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2007-08-11 |