| NPI | 1659549558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY FREDRICKA BRIGGS Owner 318-336-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 0101-006521) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2012-06-05 |