| NPI | 1720037963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS O GREEN Owner 501-321-9461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00713) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR 003600) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2023-02-03 |