| NPI | 1285908020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY STEPHENS Owner/Mbr 601-213-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |