Organization
DURAMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY WALTER DECASTRO SR. (PRESIDENT)
(504) 467-4057
Entity
Organization
Contact information
Practice address
1015 24TH ST, KENNER, LA 70062-5268
(504) 467-4057
(504) 467-4053
Mailing address
1015 24TH ST, KENNER, LA 70062-5268
(504) 467-4057
(504) 467-4053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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