| NPI | 1730186453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H HENDRICKSON Owner 501-329-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 001331) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR 001331) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |