| NPI | 1538156278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNEY DURIEL AUSTIN Co Owner/President (Corp) 334-699-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 117) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 90265) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-10-25 |