| NPI | 1275796070 |
|---|---|
| Doing Business As | BROCDME |
| Entity Type | Organization |
| Authorized Contact | LYLE E BOARD Director Ancillary Services 225-408-7992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |