| NPI | 1033240452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE FAZZIO Owner/President 504-900-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-10-29 |