| NPI | 1619593308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN JEANSONNE Owner / Manager 985-900-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2022-12-20 |