Organization
JEFF DAVIS MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTEL DOUCET (BUSINESS OFFICE MANGER)
(337) 824-3165
Entity
Organization
Contact information
Practice address
1338 N CUTTING AVE, JENNINGS, LA 70546-4202
(337) 824-3165
(337) 824-3183
Mailing address
1338 N CUTTING AVE, P.O. BOX 757, JENNINGS, LA 70546-4202
(337) 824-3165
(337) 824-3183
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4803
LA
332BN1400X
Nursing Facility Supplies (DME)
—
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187241
—
LA
Enumeration date
12/17/2006
Last updated
12/09/2008
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