| NPI | 1891987616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNI JOE ROACH President 870-358-2484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00006) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-03-14 |