| NPI | 1548204753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE GROGAN President / Owner 601-932-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06345/11.1) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-01-28 |