NPI | 1316047194 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRI A MASSEY Administrative Assistant 870-448-5984 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR mg00777) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2010-08-10 |