| NPI | 1205999356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA DIANNE BASTOW President 337-239-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 9086059-001 0) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 9086059-001 0) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 9086059-001 0) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-04-20 |