Organization
BENOIT TOTAL CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RAY BENOIT (PARTNER)
(337) 291-9919
Entity
Organization
Contact information
Practice address
115 MARCON DR, LAFAYETTE, LA 70507-6208
(337) 291-9919
(337) 291-9920
Mailing address
115 MARCON DR, LAFAYETTE, LA 70507-6208
(337) 291-9919
(337) 291-9920
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1562998
—
LA
Enumeration date
06/19/2006
Last updated
08/22/2020
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