| NPI | 1457603433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN JASON HURST President 479-221-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |