NPI | 1902499874 |
---|---|
Doing Business As | SPRING RIVER HOME INFUSION |
Entity Type | Organization |
Authorized Contact | KIMBERLEY TYLER Biller 870-895-2627 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251F00000X Home Infusion |
Enumeration Date | 2021-02-11 |
Last Update Date | 2021-02-11 |