| NPI | 1851597348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MILLER President 985-643-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA OTT.200062) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA OTT.200062) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |