Organization
REMARKABLE DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLYDETTE PHILL (PRESIDENT)
(225) 928-9811
Entity
Organization
Contact information
Practice address
9425 LINDALE AVE STE C, BATON ROUGE, LA 70815-4179
(225) 928-9811
(225) 928-9810
Mailing address
9425 LINDALE AVE STE C, BATON ROUGE, LA 70815-4179
(225) 928-9811
(225) 928-9810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00880419
LA
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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