| NPI | 1407935950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS SALES President 225-273-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-01-15 |