| NPI | 1790179414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WOODS Owner 601-912-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MS 141196/11.1) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |