| NPI | 1588020804 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THERESA LANDRY Clinical Coordinator 985-542-7150 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2016-01-04 | 
| Last Update Date | 2016-01-04 |