| NPI | 1174566897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW P MOREAU Director 225-658-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 1710560473W) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-01-03 |