Organization Name: | HEAD TO TOE |
NPI Number: | 1467892406 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT CARY YARBROUGH (OWNER/MANAGING MEMBER) |
Mailing Address: | 2195 Peyton St Ward |
State: | AR US |
Postal Code: | 721768563 |
Phone Number: | 5019412949 |
Fax Number: | 5019412952 |
NPI Enumeration Date: | 07/03/2013 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | MG01445 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |