Organization
MAGNOLIA RESPIRATORY & MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE S SMITH SR. (PRESIDENT)
(225) 664-2119
Entity
Organization
Contact information
Practice address
235 FLORIDA AVE. SE, DENHAM SPRINGS, LA 70726-3728
(225) 664-2119
(225) 664-2519
Mailing address
235 FLORIDA AVE. SE, DENHAM SPRINGS, LA 70726-3728
(225) 664-2119
(225) 664-2519
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
320011100
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175811
—
LA
Enumeration date
10/03/2006
Last updated
10/23/2012
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