| NPI | 1851595672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE J TOLLEY President 601-420-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 05864 11.1) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |