| NPI | 1881932408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY WALTER DECASTRO President 504-467-4057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2022-08-23 |