| NPI | 1154536019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES RICCIARDI Office Manager 870-423-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |