| NPI | 1164691853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C BUNCH Vice President 318-388-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: LA 5896710001) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-28 |