| NPI | 1952556995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA TUCKER Owner PIC 501-268-5811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |