| NPI | 1487725016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDA TERICA BREAUX CEO 866-904-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-03-02 |