| NPI | 1720523939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL M TODD Billing Coordinator 318-797-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 6137) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2016-12-23 |