| NPI | 1831586841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MALONE President 601-321-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |