=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326009853
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | P&H OSTOMY & HEALTH SERVICES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2006
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1501 N UNIVERSITY AVE STE 418
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72207-5295
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-227-8220
-----------------------------------------------------
Fax | 501-636-7589
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 674553
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48267-4553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-227-8220
-----------------------------------------------------
Fax | 501-636-7589
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT AND DIRECTOR
-----------------------------------------------------
Name | EMILY M VESTAL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 866-897-8588
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | MG00590
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------