| NPI | 1750569174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA AMERINE HARRIS Owner/Operator 479-452-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 2339) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2013-03-21 |