| NPI | 1093520835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA RENEE GOBERT Owner 337-244-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |