NPI | 1205062437 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN WILD C.E.O. 501-613-4724 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00958) |
Enumeration Date | 2009-06-02 |
Last Update Date | 2010-07-19 |