| NPI | 1245633247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE D WILLIAMS Owner/ Operator 337-438-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 3157130) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |