| NPI | 1518081629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C GOODMAN President 225-766-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009022) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-03-14 |