| NPI | 1063646966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRETT STOUTE Chief Compliance Officer 337-500-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000828) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2024-01-15 |