| NPI | 1689601957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L FAILLA President 601-798-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 055-05477-9) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-04-12 |