HIDEAWAY HEALTH TABLE LLC NPI 1043874068

NPI Information

HIDEAWAY HEALTH TABLE LLC is a durable medical equipment medical supplies in Owens Cross Roads, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. HIDEAWAY HEALTH TABLE LLC NPI is 1043874068. The provider is registered as an organization entity type.

The provider's business location address is:

4817 BROWNSTON CT SE
OWENS CROSS ROADS, AL
ZIP 35763-161
Phone: (256) 426-3593

The provider's authorized official is Gregory Gilliland .
The authorized official title is Owner and has the following contact phone number (256) 426-3593.

The enumeration date for this NPI number is 4/24/2019 and was last updated on 4/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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