| NPI | 1386868180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PURSER Administrator 337-948-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-11-14 |