| NPI | 1841497021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L EWING Regional Mgr 337-837-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 1477645001) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |