| NPI | 1770647430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WALTERS Office Manager 662-844-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 08548) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-07-22 |