| NPI | 1841311701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT E VELOTTA Facility Manager 318-473-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA 4436IR) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |