| NPI | 1932878428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD LELAN STICE Owner 501-442-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-07-18 |