Organization
DUDLEY ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZELL DUDLEY (OWNER)
(318) 459-1440
Entity
Organization
Contact information
Practice address
2521 SAMFORD AVE, SHREVEPORT, LA 71103-3727
(318) 459-1440
(318) 459-1439
Mailing address
PO BOX 13524, ALEXANDRIA, LA 71315-3524
(800) 815-0586
(318) 445-9433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1259930001
NSC NUMBER
LA
Enumeration date
12/19/2006
Last updated
08/22/2020
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