| NPI | 1861408072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY J CLEMENT Manager 479-636-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR 244516-78-003) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-07-31 |