| NPI | 1548290745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY TALLEY Owner 225-647-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 043703145) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-07-21 |