| NPI | 1912713389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA WALKER Credentialing Specialist 501-404-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |