| NPI | 1831157650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY MARTIN WIGGGINS Owner 501-305-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 332bp3500x) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-03-12 |