| NPI | 1124733480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS VAN RAAM COO 205-703-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-06-04 |