| NPI | 1417656174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S KILGORE President 662-456-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |