| NPI | 1548381163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY RIVAS Ar Director 985-626-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0089639) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |