| NPI | 1598145807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA P SMILO Member 601-445-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 14270/11.1) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |