| NPI | 1255373031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDIE PITTMAN Chief Executive Offices 225-751-3685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-10-02 |