| NPI | 1497431027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARYTA DENAE SIMMONS Manager 334-224-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |