| NPI | 1639235054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT DAVID MCELWEE Co Owner 337-363-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 2700326-001 0) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |