| NPI | 1295719946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SHIVER President 334-308-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 133) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-01-12 |