| NPI | 1568752574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D IRWIN Owner/Manager 334-279-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 2808) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |