NPI | 1710443205 |
---|---|
Doing Business As | ARC - QUARRY LAKE |
Entity Type | Organization |
Authorized Contact | ANAS DAGHESTANI CEO/President 512-231-5594 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-02-20 |