NPI | 1235255050 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTI WEEMS HOWELL Owner 662-842-4422 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 07316 11.1) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |