| NPI | 1982095139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C BALENKO President 501-286-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |