Organization
DAREM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID O. WILLOUGHBY (MANAGER)
(225) 293-0491
Entity
Organization
Contact information
Practice address
11760 S HARRELLS FERRY RD STE A, BATON ROUGE, LA 70816-2374
(225) 293-0491
Mailing address
11760 S HARRELLS FERRY RD STE A, BATON ROUGE, LA 70816-2374
(225) 293-0491
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079529
—
LA
Enumeration date
10/02/2006
Last updated
11/26/2008
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