| NPI | 1164652657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KRIS STEWARD Administrator 318-289-9076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |