| NPI | 1750219697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED MURTAZA ALI QAEM Manager 479-265-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |