Organization
ADVANCE ONE MEDICAL EQUIPMENT & SUPPLIES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZABRINA MARIE KRUG (OFFICE MANAGER)
(318) 549-1113
Entity
Organization
Contact information
Practice address
1700 OLD MINDEN RD, SUITE 116, BOSSIER CITY, LA 71111-4820
(318) 549-1113
(318) 549-3331
Mailing address
1700 OLD MINDEN RD, SUITE 116, BOSSIER CITY, LA 71111-4820
(318) 549-1113
(318) 549-3331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5017108001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100102
—
LA
Enumeration date
04/04/2007
Last updated
08/22/2020
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