| NPI | 1902980329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN E. HUTTO President 601-735-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 03899/11.1) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 03899/11.1) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-02-03 |