| NPI | 1629281241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY ANN ZEUTZIUS Secretary Treasurer 318-865-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06520 11.1) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-04-20 |