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 |