Organization
INDEPENDENCE HEALTH CORP., LLC
Active
Other names
RedHawk Medical Products & Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD DARCY KLUG (CFO)
(337) 269-5933
Entity
Organization
Contact information
Practice address
120 RUE BEAUREGARD STE 206, LAFAYETTE, LA 70508-3129
(337) 269-5933
Mailing address
PO BOX 53929, LAFAYETTE, LA 70505-3929
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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