| NPI | 1073800298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE WILLIAMS Owner 225-253-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 171W00000X Contractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |