| NPI | 1023464849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ANDERSON President 256-403-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 589) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-09-14 |