Organization
DEPENDABLE MEDICAL SUPPLY
Active
Organization
DEPENDABLE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE NICHOLSON (PRESIDENT)
(337) 364-8888
Entity
Organization
Contact information
Practice address
4801 ERASTE HEBERT, NEW IBERIA, LA 70560
(337) 364-8888
(337) 364-8888
Mailing address
4801 ERASTE HEBERT RD., NEW IBERIA, LA 70560
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/18/2008
Last updated
06/30/2009
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