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Organization
BAYOU MEDICAL LLC
Active
Organization
BAYOU MEDICAL LLC
Active
Other names
BAYOU MEDICAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRA GRAYSON (OFFICE MANAGER)
(318) 435-4140
Entity
Organization
Contact information
Practice address
301 PRAIRIE ST, WINNSBORO, LA 71295-2732
(318) 435-4140
(318) 435-4139
Mailing address
301 PRAIRIE ST, WINNSBORO, LA 71295-2732
(318) 435-4140
(318) 435-4139
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851616809
—
LA
05
—
2118218
—
LA
Enumeration date
04/01/2010
Last updated
12/09/2024
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