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Organization

PR NURSING SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RONDA LOU MCNEAL (DIRECTOR OFFICER)
(318) 443-9614
Entity
Organization

Contact information

Practice address
534 MURRAY ST, ALEXANDRIA, LA 71301-8019
(318) 443-9614
(318) 487-1957
Mailing address
PO BOX 191, ALEXANDRIA, LA 71309-0191
(318) 443-9614
(318) 487-1957

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1461521
LA
Enumeration date
04/18/2007
Last updated
11/26/2007
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