| NPI | 1609812411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L STINSON Owner 334-270-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 502) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-03-31 |