| NPI | 1366497091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDY WIDNER General Manager 256-739-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 4865) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-05-06 |