| NPI | 1225210735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MARK HICKMAN Owner 501-834-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 10724) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-06-09 |