| NPI | 1265498042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OHENEBA T MENSAH President 318-561-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA RFO 35546568K) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2009-01-21 |