Organization
ROADRUNNER ABILITY ACCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL BENEVAGE (PRESIDENT)
(337) 287-7802
Entity
Organization
Contact information
Practice address
104 BAYOU BEND DR, SULPHUR, LA 70663-4010
(337) 287-7802
(337) 476-2827
Mailing address
PO BOX 1627, SULPHUR, LA 70664-1627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
05/10/2023
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