| NPI | 1912141516 |
|---|---|
| Doing Business As | EXTENDED CARE PROSTHETICS OF MISSISSIPPI |
| Entity Type | Organization |
| Authorized Contact | NELSON WILSON Owner 601-951-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MS C36423) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-05-19 |