| NPI | 1740608330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BRYON EVANS Owner 985-873-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |