| NPI | 1215045950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DANIEL JENNINGS Owner 334-271-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 510022749) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-07-21 |