| NPI | 1477816197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MATTHEW JORDAN Partner Manager 601-956-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2013-10-04 |