| NPI | 1720364722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SMITH Owner 228-363-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |