| NPI | 1952604407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLA WELLS Owner/General Manager 601-442-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 11377) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |