| 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 |