Organization
GERALDINE ENTERPRISES, INC.
Active
Other names
dba Magic Footsteps
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE P BONVILLAIN (PRESIDENT)
(985) 868-1016
Entity
Organization
Contact information
Practice address
3200 STEPHANIE ST, HOUMA, LA 70363-3730
(985) 868-1016
Mailing address
3200 STEPHANIE ST, HOUMA, LA 70363-3730
(985) 868-1016
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1135372
—
LA
Enumeration date
04/18/2007
Last updated
08/22/2020
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