| NPI | 1376726539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAE WILSEY Owner/Partner 225-216-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2009-05-29 |