| NPI | 1528136736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GARRET Manager 501-568-9227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 332B00000X) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-02-12 |