NPI | 1619527249 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BRETT STOUTE Chief Compliance Officer 337-500-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Enumeration Date | 2019-09-16 |
Last Update Date | 2024-08-26 |