| NPI | 1508918467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNA J PERRETT Office Manager 479-754-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MC0283) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-03-13 |