| NPI | 1134266174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM THOMAS WEBER Owner Manager 870-763-7322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-07-21 |