| NPI | 1245469394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR GENORA COLLINS Owner 601-425-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 5642570001) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |