| NPI | 1154531523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICO MAURICE DURHAM Owner 334-421-8826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-02-08 |