Hideaway Health Table LLC
NPI #1043874068 in Owens Cross Roads, Alabama
Provider Information
- NPI Number
- 1043874068
- Entity Type
- Organization
- Organization Name
- Hideaway Health Table LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 24, 2019
- Last Updated
- Apr 24, 2019
Practice Location
- Address
- 4817 BROWNSTON CT SE
- State
- Alabama
- ZIP Code
- 35763-9161
- Phone
- (256) 426-3593
Authorized Official
- Name
- MR. GREGORY GILLILAND, PTA
- Title
- OWNER
- Phone
- (256) 426-3593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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