Organization
MED-AIR, LLC.
Active
Other names
MELANCON MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL JOSEPH MELANCON LPN (OWNER)
(337) 332-5811
Entity
Organization
Contact information
Practice address
138 S MAIN ST, BREAUX BRIDGE, LA 70517-5114
(337) 332-5811
(337) 332-6101
Mailing address
138 S MAIN ST, BREAUX BRIDGE, LA 70517-5114
(337) 332-5811
(337) 332-6101
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
500011430
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527548
—
LA
Enumeration date
07/24/2006
Last updated
09/22/2008
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