| NPI | 1083888218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE NICHOLSON President 337-364-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2009-06-30 |