| NPI | 1174509350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH K STORER President / Owner 318-424-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 4028) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 09-0007047) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2011-03-16 |