Organization
SUNRISE MEDICAL MANAGEMENT, INC
Active
Other names
Minden Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L PROUTY (VICE PRESIDENT)
(318) 382-1332
Entity
Organization
Contact information
Practice address
603 FLEMING LN, MINDEN, LA 71055-3073
(318) 382-1332
(318) 377-6893
Mailing address
603 FLEMING LN, MINDEN, LA 71055-3073
(318) 382-1332
(318) 377-6893
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348856
—
LA
Enumeration date
10/25/2006
Last updated
08/22/2020
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