| NPI | 1295952257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KAY ROY Owner 225-756-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 2000653627) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-01-26 |