| NPI | 1891821880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY I KELLER President CEO 337-948-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 125) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-09-10 |