NPI | 1982452694 |
---|---|
Doing Business As | JACKSON MEDICAL |
Doing Business As | JACKSON MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | GARY PAUL SIMPSON President 731-215-3994 |
Organization Subpart ? | No |
Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-10-18 |