| NPI | 1467607895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY LLOYD LUNSFORD Owner 229-888-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |