Lifetime Medical Supply, Inc.

NPI #1750397543 in Manila, Arkansas

Provider Information

NPI Number
1750397543
Entity Type
Organization
Organization Name
Lifetime Medical Supply, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
623 A & B WEST STATE HIGHWAY 18
City
Manila
ZIP Code
72442
Phone
(870) 561-5433

Authorized Official

Name
RUSSELL ANTHONY CROWELL
Title
PRESIDENT/CEO
Phone
(870) 561-5433

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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