| NPI | 1235359308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS UDEAGHA CEO 985-845-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 1657867) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2008-03-10 |