| NPI | 1538535927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L FOTO President 985-626-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 4782) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |