| NPI | 1568822237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON I DUPREE Owner 318-797-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: LA 4874) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-04-26 |