NPI | 1710363486 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA MARIE KENNEY Owner And Manager 501-620-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR CP2198) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2025-04-02 |