| NPI | 1578865630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN N WOOD President 662-801-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 093004356) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |