| NPI | 1013017805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI A MASSEY Administrative Assistant 870-448-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR mg00750) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-03-27 |