NPI | 1144613902 |
---|---|
Entity Type | Organization |
Authorized Contact | GRANT WESTON SIMMERING Lotr/Atp 318-229-2521 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2015-03-18 |
Last Update Date | 2015-03-18 |