| NPI | 1942476965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P BODE Owner 985-249-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 36702713K) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |