| NPI | 1467487553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CONNER President 205-871-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: AL 111224) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |