| NPI | 1710167143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHLOE LIEBLONG Office Manager 479-968-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AR 2265) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-05-12 |