NPI | 1205000130 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SIMON BORDELON President 985-726-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 734) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |