| NPI | 1366505042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN WATKINS President 870-483-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |