| NPI | 1124304688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOCIA CAGLE Sole Member 337-212-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |