| NPI | 1982107728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON THORNTON CAPPS Owner 479-263-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-06-12 |