| NPI | 1205961083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DARR COO 870-932-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20511) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20370) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-01-10 |