| NPI | 1669483574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTY D KYLE Owner 662-287-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 03422/11.1) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-04-13 |