| NPI | 1063688414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON O ISTRE Owner/President 985-845-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 156) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2013-04-08 |