| NPI | 1245875491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH HARDY YONGKUMA Owner/Operator 334-222-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |