| NPI | 1114105939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY JAMES DAVID Owner 337-523-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 0017583) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |