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 | 133V00000X Dietitian, Registered |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2008-02-27 |
Last Update Date | 2010-05-27 |