Organization
HARVEST MEDICAL SUPPLY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARTHENIA YOLANDA CLARK (PRESIDENT)
(225) 231-4949
Entity
Organization
Contact information
Practice address
4521 NORTH BLVD STE D, BATON ROUGE, LA 70806-4045
(225) 231-4949
(225) 231-4989
Mailing address
4521 NORTH BLVD STE D, BATON ROUGE, LA 70806-4045
(225) 231-4949
(225) 231-4989
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119903
—
LA
Enumeration date
11/26/2007
Last updated
08/28/2008
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