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Organization

GLOVE, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDDIE J GOUDY JR. (ADMINISTRATOR)
(337) 363-4758
Entity
Organization

Contact information

Practice address
802 N DUPRE ST # 34, VILLE PLATTE, LA 70586-3071
(337) 363-4758
(337) 363-4760
Mailing address
802 N DUPRE ST # 34, P.O. BOX 2051, VILLE PLATTE, LA 70586-3071
(337) 363-4758
(337) 363-4760

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42
LA
05
68
LA
Enumeration date
10/25/2010
Last updated
10/25/2010
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