| NPI | 1942445911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSO LEROY JACKSON President 318-351-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |