| NPI | 1568718641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL J RAVEY Owner 225-273-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 50362) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |