| NPI | 1033536453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE M TYNER Vice President/COO 870-534-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN Applied for) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-10-28 |