| NPI | 1679076335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A SOSA President 601-622-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 16964) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |