| NPI | 1871573519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. WORLEY President 601-713-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 03859 / 11.1) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |