| NPI | 1548514789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GRAY Office Manager 334-271-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 3143) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |