Organization
FOURCO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS M FOURNET PT ADV (PRESIDENT)
(337) 828-0989
Entity
Organization
Contact information
Practice address
1522 HOSPITAL AVE, FRANKLIN, LA 70538-0323
(337) 828-0989
(337) 828-3414
Mailing address
1522 HOSPITAL AVE, FRANKLIN, LA 70538-3723
(337) 828-0989
(337) 828-3414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216364
—
LA
Enumeration date
08/25/2006
Last updated
05/01/2014
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