Organization
RELIABLE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD DAVIDSON JR. (SECRETARY/TREASURE)
(225) 665-5081
Entity
Organization
Contact information
Practice address
235 FLORIDA AVENUE S.E., DENHAM SPRINGS, LA 70726
(225) 665-5081
(225) 665-5023
Mailing address
PO BOX 605, 235 FLORIDA AVENUE SE, DENHAM SPRINGS, LA 70727-0605
(225) 665-5081
(225) 665-5023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1933236
—
LA
01
—
B5579
BLUE CROSS BLUE SHIELD
LA
Enumeration date
10/03/2006
Last updated
08/22/2020
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