| NPI | 1396961520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHAOMA BONIFACE OHIA Director 225-924-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 35976289D) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |