| NPI | 1851422323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K COOLEY Owner 601-735-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 01659011) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |