| NPI | 1609876267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE O QUIRK Owner 225-664-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2014-01-22 |