| NPI | 1588762397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL REESE DAVIS Manager 225-291-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-11-28 |