Organization
MANAGEMENT SERVICES OF BEAUREGARD PARISH, INC.
Active
Other names
MANAGEMENT SERVICES OF BEAUREGARD
Organization subpart
No
Provider details
NPI number
Authorized official
JACK H SANDERS (MANAGING DIRECTOR)
(318) 590-0007
Entity
Organization
Contact information
Practice address
965 FISHER RD, MANY, LA 71449-3819
(318) 590-0007
(318) 590-1711
Mailing address
965 FISHER RD, MANY, LA 71449-3819
(318) 590-0007
(318) 590-1711
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1961124
—
LA
Enumeration date
09/16/2006
Last updated
08/13/2007
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