| NPI | 1093802639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP RANDAL WADE Pres. 256-332-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL exempt) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-02-07 |