Organization
HOPE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY WENKEL (REGISTERED AGENT, MEMBER)
(318) 640-0616
Entity
Organization
Contact information
Practice address
103 GAYVEN DR, PINEVILLE, LA 71405-4901
(318) 640-0616
Mailing address
103 GAYVEN DR, PINEVILLE, LA 71405-4901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039357
—
LA
Enumeration date
01/30/2008
Last updated
02/18/2011
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