| NPI | 1407966153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MARK FREDRICKSON President 205-942-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 485) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |