| NPI | 1063672707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELVARINE HARVEY Owner 225-275-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 00880912) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |