| NPI | 1649726662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN DAVID BOURGEOIS Founder 228-334-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |