| NPI | 1003043159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALISA L WARD Director Of Operations 334-285-6120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 712) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |