NPI | 1013632348 |
---|---|
Entity Type | Organization |
Authorized Contact | TROY-ANN FREEMAN Specialist 225-288-3677 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-10-10 |
Last Update Date | 2022-10-10 |