| NPI | 1740342641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTON LYNN BREAUX Owner 337-237-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 125555200-01) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 28-0011113) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |