| NPI | 1316242795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LEE HOLT CFO 601-352-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0088527) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |