| NPI | 1477794477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY A BOHN Registered Agent 337-981-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2012-07-17 |