Organization
MID SOUTH ARTIFICIAL LIMB CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY J HANCOCK (MANAGER)
(318) 878-0803
Entity
Organization
Contact information
Practice address
903 BROADWAY ST, DELHI, LA 71232-3401
(318) 878-0803
(318) 878-0807
Mailing address
903 BROADWAY ST, DELHI, LA 71232
(318) 878-0803
(318) 878-0807
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
6818306001
LA
Other
Enumeration date
11/21/2006
Last updated
06/22/2009
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