NPI | 1518280973 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BRETT STOUTE Chief Compliance Officer 337-500-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000828) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2024-01-16 |