NPI | 1619028917 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES D MACEY Controller 318-798-2648 |
Organization Subpart ? | No |
Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
Enumeration Date | 2007-01-15 |
Last Update Date | 2020-08-22 |