| NPI | 1164499398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYKEEDA BURNS Administrator 256-489-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 683) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-07-29 |