| NPI | 1083807986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANELL ELAINE MASSEY Owner 870-814-8707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |