| NPI | 1790866960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY PENNER Director Of Operations 318-443-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-09-15 |