| NPI | 1710155536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN DAVIS President 501-350-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AR OTR363) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2012-03-04 |