Organization
HEALING HEARTS HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMRIE L WELLS (DIRECTOR)
(479) 394-8055
Entity
Organization
Contact information
Practice address
1100 HIGHWAY 71 N STE B, MENA, AR 71953-8414
(479) 394-8045
(479) 394-8055
Mailing address
1100 HIGHWAY 71 N STE B, MENA, AR 71953-8414
(479) 394-8055
(479) 394-8045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
09/11/2013
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