| NPI | 1508959107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY NACILLA President 256-255-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-07-21 |