| NPI | 1285068148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FREDERICK DAVIS O Wner 337-212-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2022-07-21 |