| NPI | 1386702728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LYNN CORNETT Manager 601-485-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-04-20 |