Organization
D & M HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE ANNE MCCOLLUM (OWNER/PRESIDENT)
(985) 447-9597
Entity
Organization
Contact information
Practice address
1713 CANAL BLVD, THIBODAUX, LA 70301-5224
(985) 447-9597
(985) 447-9588
Mailing address
PO BOX 785, THIBODAUX, LA 70302-0785
(985) 447-9597
(985) 447-9588
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1353493
—
LA
Enumeration date
05/11/2006
Last updated
12/17/2014
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