| NPI | 1710918164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF PETTIT President 501-753-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 0000000453) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |