| NPI | 1407011794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ADAMS Administrator 225-774-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: LA 15000) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |