| NPI | 1215906144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN CHARLES DOHERTY Operations Manager 337-430-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 0132332-001) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |