| NPI | 1750330361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J. WELLS Executive Director 205-221-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 634) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-11-12 |