| NPI | 1609829399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE LEE TYREE Owner 205-295-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 060172) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |