Organization
SUNSTATE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS M. WALSH (SECRETARY)
(225) 769-7960
Entity
Organization
Contact information
Practice address
10632 HILLARY CT, BATON ROUGE, LA 70810-2842
(225) 769-7960
(225) 769-6528
Mailing address
10632 HILLARY CT, BATON ROUGE, LA 70810-2842
(225) 769-7960
(225) 769-6528
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532711
—
LA
Enumeration date
03/20/2007
Last updated
08/22/2020
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