| NPI | 1013167154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY W WOOSLEY Owner/Sec./Treasurer 501-941-5401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 30707878002) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |