| NPI | 1013129600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE E SIMPSON Owner 870-935-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 021398) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |