| NPI | 1134458631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A HASTIE Partner 256-590-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 20091210000766540) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |