| NPI | 1649379462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA MATTHEWS CEO 662-536-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-07-29 |