| NPI | 1780200493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY RENEE ALLDREDGE Owner 256-236-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |