| NPI | 1154424943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M LAWSON Owner 256-764-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AL 157) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |