| NPI | 1598060659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA D DAVIS President 870-856-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-03-16 |