Pediatric Nutrition Provider Of Ar
Parenteral & Enteral Nutrition
920 Edison Ave, Suite #9, Benton
Arkansas, 72015-4502
501-315-7337 Pediatric Nutrition Provider Of Ar is a Parenteral & Enteral Nutrition in Benton, Arkansas. It is located at 920 Edison Ave, Suite #9, Benton and it's customer support contact number is 501-315-7337. The authorized person of Pediatric Nutrition Provider Of Ar is Mrs. Nicole Courtney Motto who is Co-owner of this DME and her contact number is 501-315-7337. Active license number of Pediatric Nutrition Provider Of Ar is AR20528 for Parenteral & Enteral Nutrition in Arkansas.
Pediatric Nutrition Provider Of Ar is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Pediatric Nutrition Provider Of Ar type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Pediatric Nutrition Provider Of Ar |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 920 Edison Ave, Suite #9, Benton,
Arkansas, 72015-4502 |
| Phone: | 501-315-7337 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Nicole Courtney Motto |
| Position: | Co-owner |
| Contact Number: | 501-315-7337 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1588873053 |
| NPI Enumeration Date: | 22 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Nutrition Provider Of Ar are as mentioned below.
| Specialization | License Number | State | Status | |
| Parenteral & Enteral Nutrition | AR20528 | Arkansas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 920 Edison Ave, Suite #9
Benton, Arkansas |
| Zip: | 72015-4502 |
| Phone Number: | 501-315-7337 |
Patients can reach Pediatric Nutrition Provider Of Ar at
920 Edison Ave, Suite #9, Benton, Arkansas or can
call on customer care at 501-315-7337.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.