| NPI | 1730147463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY J CLEMENT CEO 479-531-6222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR MG00474) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-07-31 |