| NPI | 1235663733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J WOLF President 228-863-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 08651/11.1) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |