Organization
MORRILTON RESPIRATORY CARE INC
Active
Other names
PETIT JEAN MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY REX WHITE C.PED, CFO (PRESIDENT)
(501) 354-2700
Entity
Organization
Contact information
Practice address
8 RAZORBACK DRIVE, MORRILTON, AR 72110-0188
(501) 354-2700
(501) 354-0214
Mailing address
PO BOX 188, MORRILTON, AR 72110-0188
(501) 354-2700
(501) 354-0214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154628716
—
AR
Enumeration date
02/23/2007
Last updated
02/17/2020
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