| NPI | 1366577546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREY BRADFORD President 225-214-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-09 |