| NPI | 1851708812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MARIE RICHERT Owner 337-277-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA DME.000546) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |