| NPI | 1962680736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEE HAMIL Owner/Operator 256-543-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: AL 0000000000000) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: O1471) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |