PEDIATRIC NUTRITION PROVIDER OF ARKANSAS

BENTON, AR
NPI1265569453
Doing Business AsARKANSAS RESPIRATORY & EQUIPMENT PROVIDER
Entity TypeOrganization
Authorized ContactNICOLE C MOTTO
Co Owner
501-315-7337
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: AR  MG00511)
Enumeration Date2007-02-27
Last Update Date2020-08-22
Business Address
PEDIATRIC NUTRITION PROVIDER OF ARKANSAS
920 EDISON AVE SUITE 8
BENTON, AR 72015-4502
Phone number: 501-315-7337
Mailing Address
PEDIATRIC NUTRITION PROVIDER OF ARKANSAS
920 EDISON AVE SUITE 8
BENTON, AR 72015-4502
Phone number: 501-315-7337