| NPI | 1841016466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA GINN Executive Administrative Assistant 501-224-5454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |