| NPI | 1780999318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD MILLIMAN Member/Manager 318-387-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2011-05-11 |