| NPI | 1548455884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH K GOWEN President 662-533-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 07500/11.1) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2015-02-02 |