| NPI | 1902993504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALDEN THIBODEAUX President 337-948-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 490011000) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |