| NPI | 1235547746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA FAVRE Medical Billing Manager 228-206-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 1044633) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |