OrganizationActive
Longwind Product & Service, Inc
NPI 1407889934 · Parenteral & Enteral Nutrition Supplies (DME) · Jackson, MS
Provider details
- NPI number
- 1407889934
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Lonnie Walker, Ceo(601) 366-2215
- License
- 06693/11.1 (MS)
Specialties & taxonomies
Suppliers
Practice location
205 W Woodrow Wilson Ave
Jackson, MS 39213-7647
Phone: (601) 366-2215
Fax: (601) 366-9813
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11838
Jackson, MS 39283-1838
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.