| NPI | 1275974099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY PUSLOSKIE Member Of LLC 318-404-4478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |