| NPI | 1821436601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL GIANGROSSO Director 504-838-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 555030) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 555030) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |