| NPI | 1558604280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILENA C JOYXW Member 985-285-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |