| NPI | 1336361914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L GREENWAY Administrator 662-563-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 542011) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-03-04 |