| NPI | 1992256911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON NAGEM Owner 337-540-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 000793) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-05-08 |