| NPI | 1235836560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY FONDREN Consultant 504-782-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |