Organization
ACTIVE MEDICAL SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT MICHAEL WRIGHT RN (OWNER)
(504) 304-8424
Entity
Organization
Contact information
Practice address
433 12TH ST, GRETNA, LA 70053-5525
(504) 304-8424
(504) 365-7301
Mailing address
433 12TH ST, GRETNA, LA 70053-5525
(504) 304-8424
(504) 365-7301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310093
—
LA
Enumeration date
11/08/2006
Last updated
07/21/2022
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