| NPI | 1497022933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE SISTRUNK RUSH Co Owner 225-665-0696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |