| NPI | 1437324795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDETTE PHILL President 225-928-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 00880419) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |