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 |