| NPI | 1053305078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG O GREEN Owner 501-321-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: AR MG00362) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2023-02-03 |