| NPI | 1104891761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRETT STOUTE Chief Compliance Officer 337-500-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 508) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-05-14 |