| NPI | 1053553537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R. BERRYHILL Administrator/Owner 256-288-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 861) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2010-03-16 |