| NPI | 1366746430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERLIEA WATSON President 501-626-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: AR BL00096923) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AR BL00096923) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: AR 00000000) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-10-19 |