| NPI | 1487836797 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | DAWN M. WALDROP CFO 601-982-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA RFO02225) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2009-10-06 |