| NPI | 1396884680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. KING President 318-219-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-09-11 |