| NPI | 1427245190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON S COUSIN President 985-445-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 36368023K) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |