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 |