| NPI | 1578560371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GREGORY QUINN Owner 662-286-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 30739) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-08-29 |