| NPI | 1639111347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M FRANKUM Chairman 870-523-5879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR G00311) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |