| NPI | 1225309263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS SALES President 225-273-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 14895/11.1) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA DME000257) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2026-02-24 |