NPI | 1881612794 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ERNEST STEVENSON Owner/President 870-780-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 000614) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |