| NPI | 1487723862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA EDWARDS Director 601-607-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS none) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MS none) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |