| NPI | 1598719049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES Manager 870-931-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: AR 012843) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-03-24 |