| NPI | 1922155373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKENNA D JONES Member 225-355-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 0674861-001) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |