| NPI | 1265796247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA NASH Owner/Operator 662-887-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2013-02-07 |