| NPI | 1154680544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY OWEN JOHNSON Owner 501-658-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |