| NPI | 1104239128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHONONZELL SILENT BASS CEO 504-739-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA KY7BBE) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA KY7BBE) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |