Organization
EVANGELINE MEDICAL & NURSING SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT DAVID MCELWEE RN (CO OWNER)
(337) 363-3638
Entity
Organization
Contact information
Practice address
2865 AMBASSADOR CAFFERY PKWY, SUITE 107, LAFAYETTE, LA 70506-5944
(337) 981-0828
Mailing address
2865 AMBASSADOR CAFFERY PKWY, SUITE 107, LAFAYETTE, LA 70506-5944
(337) 981-0828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2700326001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628107
—
LA
Enumeration date
01/09/2007
Last updated
08/22/2020
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