| NPI | 1831264803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY VIZINA Owner 337-824-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 0000003761) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-01-16 |