| NPI | 1851551386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGOMED KHAIDAKOV President 501-658-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2009-03-31 |