NPI | 1104049006 |
---|---|
Entity Type | Organization |
Authorized Contact | L. MICHAEL ASHBROOK Owner 318-361-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |