| NPI | 1881067833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORY EMILE SCOTT Owner 601-909-6274 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |