| NPI | 1780777532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY L MONDAY Administrator 601-579-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |