| NPI | 1316165350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIMUS WHEELER Owner 601-362-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-06-13 |