| NPI | 1295823490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICIA DIANNE LEE Owner 337-407-9938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |