| NPI | 1679682686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL BARRON CFO 337-785-3182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: LA 619110002) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 619110002) |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: LA 619110002) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: LA 619110002) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-02-07 |