| NPI | 1225381981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PETERSON Manager 318-347-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |