| NPI | 1801937404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CLARK Manager 318-628-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 640009690) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 640009690) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |