| NPI | 1407223720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELECTRA HENRY CEO 334-669-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: AL R006584441) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |