| NPI | 1265418958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART H PACE President, Board Of Managers 205-655-6566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 04420/11.1) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MS 04420/11.1) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2010-09-16 |