| NPI | 1578740767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WENKEL Registered Agent, Member 318-640-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2011-02-18 |