| NPI | 1598948119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY K MSIAKII Owner 318-222-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 00199562) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |