| NPI | 1669154217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ALBERSON Authorized Official 501-772-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |