| NPI | 1992890578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN S. DALTON Owner 662-286-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06937/11.1) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |