| NPI | 1578698973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L LUTH Registered Agent 501-833-5627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-07-17 |