| NPI | 1437381456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY SHIELDS HILLIKER Owner 256-874-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2013-04-01 |