Organization
ASUM MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL UCHECHUKWU OKEKE (OWNER)
(318) 862-2471
Entity
Organization
Contact information
Practice address
3003 KNIGHT ST, #149, SHREVEPORT, LA 71105-2507
(318) 862-2471
(318) 862-2472
Mailing address
3003 KNIGHT ST, #149, SHREVEPORT, LA 71105-2507
(318) 862-2471
(318) 862-2472
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
05/23/2008
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