| NPI | 1518110303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS S BOND Delegated Official 318-687-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2009-02-12 |