| NPI | 1649508706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KAY BRAGG President 318-715-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 2810779004) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |