Organization
BAYOUSIDE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELINUS PAUL NOEL JR. (CO OWNER)
(985) 713-1456
Entity
Organization
Contact information
Practice address
7717 MAIN ST, HOUMA, LA 70360-4496
(985) 713-1456
(888) 765-1319
Mailing address
7717 MAIN ST, HOUMA, LA 70360-4496
(985) 713-1456
(888) 765-1319
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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