| NPI | 1265664296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD T WOODS Owner/Manager 870-364-9346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2010-05-17 |