| NPI | 1164633772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L EWING Area Manager 337-837-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 173469) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |