| NPI | 1801197538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FARHA Owner 334-260-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 3754) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-12-03 |