| NPI | 1922026616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM DRZYCIMSKI Owner 601-898-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 068883/11.1) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-11-18 |