| NPI | 1215283643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY THIBODEAUX Office Manager 337-237-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |