Organization
MOBILITY PLUS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE M COWARD DME (OWNER OPERATOR)
(337) 474-1874
Entity
Organization
Contact information
Practice address
1013 E MCNEESE ST, STE B, LAKE CHARLES, LA 70607-5837
(337) 474-1874
(337) 474-1873
Mailing address
PO BOX 16672, LAKE CHARLES, LA 70616-6672
(337) 474-1874
(337) 474-1873
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1862689001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624306
—
LA
Enumeration date
08/19/2006
Last updated
10/14/2008
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