| NPI | 1447632690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN KEITH FLYNN Owner 501-607-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |