| NPI | 1871690313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE RENEE KELLEY Billing Officer 985-542-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2010-07-08 |