| NPI | 1306957709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M TANN Owner 662-234-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 0898070001) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-02-11 |