| NPI | 1952317422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ISSA KASSISSIEH Owner 501-945-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 0413916) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-06-12 |