| NPI | 1235436890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JOHNSON Owner 225-930-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |