| NPI | 1295148435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GIPSON Manager 985-290-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 52-0012387) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |