| NPI | 1457459620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE A HAMILTON Member 228-297-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-06-17 |