| NPI | 1275397671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY COURSEY Owner 228-223-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-21 |