Organization
AGAPE HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A COTTON (MANAGER MEMBER)
(985) 687-2814
Entity
Organization
Contact information
Practice address
300 E PINE ST, PONCHATOULA, LA 70454-2518
(985) 687-2814
Mailing address
PO BOX 2245, PONCHATOULA, LA 70454-2245
(985) 687-2814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TZE36528320K
LA
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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