| NPI | 1487711339 |
|---|---|
| Doing Business As | EMMANUEL RIDGE DME& SUPPLY |
| Entity Type | Organization |
| Authorized Contact | BEATRICE A EZEM President 601-927-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 05550543) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |