| NPI | 1023187804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA ANDREWS President 225-791-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 1463001) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |