Organization
A2H-BLM LLC
Active
Other names
DeRidder Medical Equipment Supply, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JENKINS (MANAGING MEMBER)
(318) 202-1911
Entity
Organization
Contact information
Practice address
709 MAHLON ST, DERIDDER, LA 70634-4221
(337) 202-1911
(337) 202-1913
Mailing address
709 MAHLON ST, DERIDDER, LA 70634-4221
(337) 202-1911
(337) 202-1913
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
01/05/2016
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