| NPI | 1265519649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E. MATTIACE President/CEO 228-374-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 03729/11.1) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |