| NPI | 1780696823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANA R MAYES Owner/CEO 985-747-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 4504973-001) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |