| NPI | 1508812694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY F HANNA President 601-981-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 03530/11.1) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |