Organization
ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Parent organization
ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.
Authorized official
MS. MELISSA C SHEPHERD MLT ASCP (VP OF OPERATIONS/OWNER)
(318) 676-0881
Entity
Organization
Contact information
Practice address
1435 HAWN AVE, SHREVEPORT, LA 71107-6533
(318) 676-0881
(318) 676-0885
Mailing address
1435 HAWN AVE, SHREVEPORT, LA 71107-6533
(318) 676-0881
(318) 676-0885
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
090010826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1167983
—
LA
05
—
152623716
—
AK
05
—
163425501
—
TX
Enumeration date
07/20/2005
Last updated
08/23/2011
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