| NPI | 1275699498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LANPHIER Manager 225-928-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |