| NPI | 1851516744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RANDALL SCIVALLY Owner 256-489-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 090187) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |