| NPI | 1356307615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KISTLER Executive Director 479-785-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-08-13 |