| NPI | 1962461715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P RESTOVICH President 318-218-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 09-0010627) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |