| NPI | 1316452816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BURROW Member 479-271-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG01695) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |