| NPI | 1891878195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KENNEDY Member/Manager 601-849-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 07135/11.1) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-03-05 |