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 |