| NPI | 1700896925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA DARLENE WALTERS President 870-483-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR 000607) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |