| NPI | 1205280138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KIPP Administrator 501-776-6039 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |