| NPI | 1871054098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT THOMPSON Principle 601-668-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |