| NPI | 1083721203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JOSEPH BUECHE Owner 225-635-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 4721500001) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |