| NPI | 1881073278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L MCDANIEL Manager 601-506-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |