| NPI | 1396907648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A SHELTON Office Manager 601-372-5914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 516) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |