| 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 |