| NPI | 1093725814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD REED Manager 337-480-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 04-06228) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-03-28 |