| NPI | 1366696619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON B MOORE Owner / President 225-355-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |