| NPI | 1326261454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BURRON BOULWARE Owner 337-239-6578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-06-19 |