| NPI | 1780799296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R RICHARDSON President 601-842-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0089709) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-09-01 |