Organization
J RAPHA DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHONONZELL SILENT BASS (CEO)
(504) 739-8487
Entity
Organization
Contact information
Practice address
4747 EARHART BLVD STE H, NEW ORLEANS, LA 70125-1747
(504) 739-8487
(504) 833-0983
Mailing address
4747 EARHART BLVD SUITEH, NEW ORLEANS, LA 70125
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
KY7BBE
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
KY7BBE
LA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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