is a Parenteral & Enteral Nutrition in Benton, Arkansas. practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for is 1588873053. The last update date is .
's current location address is 920 Edison Ave, Benton, Arkansas. You can contact this provider via phone number 5013157337. The mailing address for is 920 Edison Ave, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 920 Edison Ave, Benton, Arkansas |
| Phone Number | 5013157337 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588873053 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 920 Edison Ave |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720154502 |
| Phone Number | 5013157337 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | AR20528 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
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