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Organization
DURAMED, INC
Active
Organization
DURAMED, INC
Active
Parent organization
DURAMED, INC
Other names
DURAMED, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DURAMED, INC
Authorized official
MR. RICKY WALTER DECASTRO SR. (PRESIDENT)
(504) 467-4057
Entity
Organization
Contact information
Practice address
8126 ONE CALAIS AVE STE 1B, BATON ROUGE, LA 70809-3448
(225) 751-1224
(225) 751-1225
Mailing address
1015 24TH ST, KENNER, LA 70062-5268
(504) 467-4057
(504) 467-4053
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669814
—
LA
Enumeration date
06/16/2017
Last updated
06/16/2017
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