Organization Name: | P.H.S. OF ALABAMA LLC |
NPI Number: | 1699831529 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES P. WALKER (OWNER) |
Mailing Address: | 230 W Main St Centre |
State: | AL US |
Postal Code: | 359601326 |
Phone Number: | 2569277408 |
Fax Number: | 2569277444 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |