| NPI | 1891935276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LONG JONES Owner 662-256-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 332BX2000X) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2012-09-26 |