Organization
COMPANION HOME MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LEWIS WHITTENBURG (OWNER PRESIDENT)
(318) 251-1100
Entity
Organization
Contact information
Practice address
100 N VIENNA ST, RUSTON, LA 71270
(318) 251-1100
(318) 251-0702
Mailing address
PO BOX 2274, RUSTON, LA 71273-2274
(318) 251-1100
(318) 251-0702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1653543
—
LA
01
—
37644820010
DEPT OF REVENUE SALES TAX
LA
Enumeration date
04/21/2006
Last updated
11/09/2007
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