| NPI | 1730523259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEEN D. MITCHELL Owner 601-564-3623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2017-11-01 |