| NPI | 1790729929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICA G NELSON Business Manager 318-387-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 014616) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-09-17 |