| NPI | 1124733480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WHITLOCK Director Managed Care 205-578-5578 |
| 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 | 2024-12-19 |