| NPI | 1336018381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADARA MCGILBERRY Owner 601-761-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |