| NPI | 1700507019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARYTA SIMMONS Manager 334-224-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-06-15 |