| NPI | 1225460934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY WALTER DECASTRO President 504-467-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |