| NPI | 1083899934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YACARA TABB Owner 504-905-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA PD177R) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2011-03-15 |