| NPI | 1093768491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK S NEVILLS President/Owner 256-236-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 005) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 005) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-02-26 |