| NPI | 1992921498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER D LEDIG President 318-377-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 0269350001) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-11-29 |