| NPI | 1346807070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIECE LAWRENCE Billing Specialist 501-312-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WV0202X Contractor, Vehicle Modifications |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |