| NPI | 1699841858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMI LYN MINVIELLE Owner 225-715-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA G02124) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |