Organization
MEDICAL 1 PATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY V JACKSON (EXECUTIVE DIRECTOR)
(225) 906-0651
Entity
Organization
Contact information
Practice address
3310 WOODCREST DRIVE, SUITE A, BATON ROUGE, LA 70814-2500
(225) 906-0651
(225) 927-1528
Mailing address
3310 WOODCREST DR, SUITE A, BATON ROUGE, LA 70814-2500
(225) 906-0651
(225) 927-1528
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000865780
LA
Other
Enumeration date
04/19/2007
Last updated
05/29/2008
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