Organization
FOURCO INC
Active
Other names
PROFESSIONAL HOME MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS M FOURNET (PRESIDENT)
(337) 828-0989
Entity
Organization
Contact information
Practice address
1522 HOSPITAL AVE, FRANKLIN, LA 70538-3723
(337) 828-0989
(337) 828-4850
Mailing address
1522 HOSPITAL AVE, FRANKLIN, LA 70538-3723
(337) 828-0989
(337) 828-3385
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629186325
BLUE CROSS OF LOUISIANA
LA
Enumeration date
12/13/2013
Last updated
09/24/2014
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