| NPI | 1386991917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE N HEINEN President 337-457-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |