| NPI | 1952476707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE A. CLEMONS Owner 662-423-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 114) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-08-15 |