| NPI | 1265595656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E CUPPLES Owner 318-427-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 00107187) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-12-04 |