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 |