| NPI | 1417953969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R AVRITT President 662-843-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 05200/11.1) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2012-07-16 |