| NPI | 1134110331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA DAWN SHIELDS President 870-886-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2017-11-22 |