| NPI | 1902070964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE U IRONDI President 318-687-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 00213555) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |