NPI | 1154384535 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY K STROUD Owner 318-687-1444 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 090010967) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2008-04-20 |