| NPI | 1073676714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEL DOUCET Business Office Manger 337-824-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 4803) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2008-12-09 |