| NPI | 1609181874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BLACKWELL Secretary Of Corp. 601-264-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |