| NPI | 1245330026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI A MASSEY Administrative Assistant 870-448-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR mg00622) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-08-09 |