| 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 |