| NPI | 1568443703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON JAMES ROMERO President 337-893-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 1415 IR) |
| Enumeration Date | 2005-11-06 |
| Last Update Date | 2007-11-15 |