| NPI | 1639475353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS M PEYROUX Owner 985-641-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 1089) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |