| NPI | 1760786776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD EVERITTE TOMLIN Owner (Sole Member) 601-310-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |