| NPI | 1376613802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY E FERGUSON Owner 318-741-1372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-11-20 |