| NPI | 1356541841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE HARDEN TOLLEY President 601-720-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 0586411.1) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |