| NPI | 1679075568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLINT LOGGINS Owner/Manager 337-781-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2021-07-02 |