| NPI | 1255769535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MAROSY Owner 479-394-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AR 2933) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |