| NPI | 1982673968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GREENLAW Executive Assistant 501-279-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-03-26 |