| NPI | 1649573387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE NICHOLSON Managing Partner 337-364-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2014-07-29 |