| NPI | 1649403833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST GAINES Member 601-291-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 08160/11.1) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2011-08-17 |