| NPI | 1871769570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED C SANDLIN Owner 205-921-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 104160) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: AL 104160) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |