| NPI | 1790912533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIS N GRAVES CEO/Director 225-473-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-09-04 |