| NPI | 1093904070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID INGRAM Owner/President 337-873-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |