| NPI | 1407889934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE WALKER CEO 601-366-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 06693/11.1) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-05-20 |