| NPI | 1164713335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BYRD C.O.O. 318-841-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 09-12573) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |