| NPI | 1033140132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA KERNER FALTER Owner/Manager 337-739-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-09-04 |