| NPI | 1912246273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE R GIBSON Owner/Operations Manager 479-636-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-05-01 |