| NPI | 1982771507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN C LILES Audiologist, Business Owner 256-319-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: AL 695a) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |