| NPI | 1790892156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE T. QUIRK Owner/Sole Proprietor 985-845-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 08068) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-12-01 |