| NPI | 1689663924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT HYDE Owner 205-625-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 900051) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 277) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AL 277) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 277) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2012-03-13 |