| NPI | 1891628467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA THEDFORD Manager 601-207-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-08 |