NPI | 1841263456 |
---|---|
Entity Type | Organization |
Authorized Contact | LLOYD C COON Owner 318-396-2319 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 4749941-002) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2007-11-01 |