| NPI | 1669772927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE JACK CORLEY Operations Manager 318-256-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 35-0012400) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |