Organization
ONE SOURCE INC.
Active
Parent organization
ONE SOURCE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONE SOURCE INC.
Authorized official
WILLIAM K WADE (VP)
(228) 424-5222
Entity
Organization
Contact information
Practice address
1346 LINDBERG DR STE 8, SLIDELL, LA 70458-8081
(228) 875-3828
(228) 436-3580
Mailing address
3004 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4370
(228) 875-3828
(228) 436-3580
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2524534
—
LA
Enumeration date
02/06/2020
Last updated
08/17/2020
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