| NPI | 1902119647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ELLIOTT President 601-527-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 08554/11.1) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |