Organization
DIRECT MEDS PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MAE WILSEY (OWNER)
(225) 910-8874
Entity
Organization
Contact information
Practice address
10319 MAMMOTH AVE, BATON ROUGE, LA 70814-4425
(225) 910-8874
(800) 840-6121
Mailing address
10319 MAMMOTH AVE, BATON ROUGE, LA 70814-4425
(225) 910-8874
(800) 840-6121
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
10-00524-504
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536776
—
LA
01
—
G0879
BLUE CROSS PROVIDER NUMBE
LA
Enumeration date
02/14/2007
Last updated
04/04/2014
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