Organization
EBENEZER SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODWIN O ENYONG JR. INC. (PRESIDENT)
(318) 868-1349
Entity
Organization
Contact information
Practice address
2924 KNIGHT ST STE 412, SHREVEPORT, LA 71105-2413
(318) 868-1349
(318) 868-1350
Mailing address
2924 KNIGHT ST, SHREVEPORT, LA 71105-2413
(318) 868-1349
(318) 868-1350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up