| NPI | 1053412197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD STEELE CULLUM President 870-931-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00793) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: AR MG00793) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |