| NPI | 1134143811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM MARTIN General Manager 479-524-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 2906504001) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |