| NPI | 1306084454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A. MCCOY Owner/President 501-513-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 332B00000X) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2021-02-10 |