| NPI | 1770365504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WARREN Administrator 205-939-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |