| NPI | 1730307802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LARRY OVERSTREET Owner, President 662-236-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 0469511) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |