| NPI | 1356375687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA H. SHELTON VP 601-956-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 05810/11.1) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |