NPI | 1396884680 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM D. KING President 318-219-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-08-22 |