| NPI | 1255645065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON B ROCHON Administrator 337-781-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |