| NPI | 1982873626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET K VANDEEST Owner 479-394-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2010-05-27 |