| NPI | 1568749810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUREE COX Administrator 601-373-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |