| NPI | 1760534309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE L LUM President 662-335-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 076103019) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-09-16 |