| NPI | 1174749899 |
|---|---|
| Other Name | DBA MAGIC FOOTSTEPS |
| Entity Type | Organization |
| Authorized Contact | GERALDINE P BONVILLAIN President 985-868-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |