| NPI | 1255596524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA KATHLEEN PERRETT Owner 601-540-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 05952) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |