| NPI | 1912193590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO JUNIUS Director Of B Illing & Collections 985-875-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2009-07-30 |