| NPI | 1518167105 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | OCTAVIA J TAYLOR President 318-388-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 5196449-001) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |