| NPI | 1275792046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN T HUBBARD Owner 662-563-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 603) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2018-07-31 |