| NPI | 1326125063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN HENRY Owner 501-327-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00806) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-08-13 |