| NPI | 1053344556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY BRADLEY Owner 334-265-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 422) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2016-06-07 |