# SOUTHERN DME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487956611
- **Authorized official:** MR. STEVE KYLE SAVARESE (PRESIDENT)
- **Authorized official phone:** (225) 667-3685

## Contact information

- **Practice address:** 8140 TRANQUILITY CIR, DENHAM SPRINGS, LA 70706-2038
- **Practice address phone:** (225) 667-3685
- **Practice address fax:** (225) 664-2578
- **Mailing address:** 8140 TRANQUILITY CIR, DENHAM SPRINGS, LA 70706-2038
- **Mailing address phone:** (225) 667-3685
- **Mailing address fax:** (225) 664-2578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 11/19/2010