| NPI | 1003955295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA L WHEELER Owner 870-425-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00789) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-12-27 |