| NPI | 1780618785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T STOKES CEO 662-332-5656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MS 01803/11.1) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 01803/11.1) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 01803/11.1) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-03-26 |