| NPI | 1588385876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHAWN BRAZIEL Owner 501-623-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |