| NPI | 1245265420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA HARDEN Owner 601-268-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 037-06632-1) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-06-17 |