| NPI | 1265149991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY WALTER DECASTRO President/Owner 504-467-4057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |