| NPI | 1952024077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA TAYLOR Owner 318-450-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-02-28 |