| NPI | 1447207006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN W. PETERSON Co Owner 318-524-2463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 090010272) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |