| NPI | 1033384367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE WALLS Executive Director 337-942-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 6831) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 6831) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |