| NPI | 1164515854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID O. WILLOUGHBY Manager 225-293-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-11-26 |