| NPI | 1073708780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BODIN Owner 985-384-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2018-06-21 |