| NPI | 1912038241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BERNARD CHARLES President 225-767-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-10-03 |