Organization
COMPLETE VITAL CARE, INC.
Active
Other names
Complete Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GARDINER (PRESIDENT)
(318) 352-2461
Entity
Organization
Contact information
Practice address
325 DIXIE PLZ, STE B, NATCHITOCHES, LA 71457-5880
(318) 352-2461
(318) 357-0778
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
3763 IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266141
—
LA
Enumeration date
07/27/2006
Last updated
08/22/2020
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