NPI | 1285408302 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BRETT STOUTE Chief Compliance Officer 337-500-1977 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-11-09 |
Last Update Date | 2025-08-01 |