| NPI | 1518599125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA MIRANDA BLACKMON CEO 205-502-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |