| NPI | 1134257736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD ANTHONY SMALLS Owner 318-294-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-10-18 |