| NPI | 1366699100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE YVETTE MAGEE CEO 662-890-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2008-08-23 |