| NPI | 1861782385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA NORTHERN President 501-860-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-21 |