NPI 1073540654
Durable Medical Equipment
Practice location
- Address
- 820 Cooper Rd Suite I, Jackson, MS 39212-4099
- Phone
- (601) 372-9575
- Fax
- (601) 376-0404
Authorised official
- Name
- Kathleen Evans Reed
- Title
- Executive Director
- Phone
- (601) 372-9575
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1073540654
- Entity type
- Organization
- NPI issued
- 27 Jun 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.