| NPI | 1376728410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A COTTON Manager Member 985-687-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA TZE36528320K) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |