| NPI | 1639416639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRI L SANDERSON President 662-315-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-07-01 |