| NPI | 1245691872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GREGG Sole Member 318-336-5711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 5476) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |