| NPI | 1972383677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GOWAN Revenue Integrity COO Rdinator 479-787-3559 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-09-03 |