| NPI | 1518054816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEAL HOLLEY President 334-897-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 027146) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 027146) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AL 027146) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 027146) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-11-30 |