| NPI | 1073959953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKIP STEWARD COO 870-935-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00322) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00836) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00816) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |