| NPI | 1184540114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE AUSTIN Administrator 251-332-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-24 |