| NPI | 1891750485 |
|---|---|
| Other Name | MOBILITY DEPOT OF HOUMA |
| Entity Type | Organization |
| Authorized Contact | KEITH EDWARD MENVILLE Owner 225-215-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-04-23 |