| NPI | 1225264229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL ANGRUM Director 318-450-1478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |