| NPI | 1669700522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE ANNE MCCALEB Owner 985-892-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 89040712) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |