| NPI | 1548634611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RYAN IRVING Owner 601-919-0972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 07215/11.1) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |