| NPI | 1356456834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY A RASMUSSEN-JONES Secretary 479-201-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-09-17 |