| NPI | 1225994668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAYSHA KEONDRIA TANNER Owner 318-290-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2025-12-30 |