| NPI | 1295002582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA ANN WALDEN Account Executive 501-580-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |