| NPI | 1073591343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE E. CALLAHAN V.P. Of Operations 985-448-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1355) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-05-12 |