| NPI | 1689791675 |
|---|---|
| Other Name | FOR DME - PROSTHETICS - ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | RICHARD G HILTON Associate Administrator 662-615-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 11-269) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |