| NPI | 1366603839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JOHNSON BURKE Owner 225-223-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 36770796K) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |