| NPI | 1093932485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY V JACKSON Executive Director 225-906-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 1000865780) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-05-29 |