| NPI | 1285914200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RUTLAND Owner/Operator 601-982-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |