| NPI | 1679104467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE KUBLI President 501-428-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |