| NPI | 1740913334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MITCHELL Manager 225-368-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |