| NPI | 1720542855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AMORY MALLETTE Managing Partner 601-353-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |