Organization
PATIENTS CARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHAEL M DARTEZ (PRESIDENT)
(337) 989-0005
Entity
Organization
Contact information
Practice address
8907 MAURICE AVE., MAURICE, LA 70555-4439
(337) 989-0005
(337) 989-0006
Mailing address
PO BOX 246, MAURICE, LA 70555-0246
(337) 989-0005
(337) 989-0006
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
570011607
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1325104
—
LA
01
—
H3210
BLUE CROSS BLUE SHIELD
LA
Enumeration date
03/23/2007
Last updated
07/12/2016
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