| NPI | 1952601320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN D WILLIAMS Manager 225-906-0220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |