| NPI | 1669507018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDGAR JOHNSTON Owner 501-860-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-09-30 |