| NPI | 1891123840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER KEVIN LIVINGSTON Owner 985-502-8843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 10431115#QWA42) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2014-03-11 |