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Organization
TECHE DME LLC
Active
Organization
TECHE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTAL GLOVER RN (ADMINISTRATOR)
(337) 212-9022
Entity
Organization
Contact information
Practice address
1406 NE EVANGELINE TRWY, SUITE 200, LAFAYETTE, LA 70501-2830
(337) 889-5785
(337) 889-5786
Mailing address
1406 NE EVANGELINE TRWY, SUITE 200, LAFAYETTE, LA 70501-2830
(337) 889-5785
(337) 889-5786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
11/21/2016
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