| NPI | 1700938693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DARREL COATES President 318-798-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 090009644) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-08-18 |