| NPI | 1356413025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE RENEE MEYERS Manager 318-628-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-11-07 |