| NPI | 1275665887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L COLLINS N F Administrator 318-747-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 5309510002) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-01-12 |