| NPI | 1255567228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR COLLINS Owner 601-425-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 246615001) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |