| NPI | 1710288410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN SMITH Member 601-500-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2011-12-06 |