| NPI | 1700883972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS R DAUGHERTY President/CEO 318-208-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 4316915001) |
| Enumeration Date | 2005-07-03 |
| Last Update Date | 2020-08-22 |