| NPI | 1376750950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODROW J. WILSON President & CEO 225-925-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 3363074001) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-05-18 |