| NPI | 1881639607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RAWLS Owner 870-335-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR MG00159) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |