| NPI | 1356779367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE MATTHEW WALZER CEO 501-413-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2020-11-30 |