| NPI | 1841472198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA DIXON Owner 318-388-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 11193) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-07-23 |