| NPI | 1780671669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L. SUPREAN President 985-643-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 0393041) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |