Organization
HARD PARTS & SUPPLIES INC
Active
Other names
Benton Medical & Nursing Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY JOE WILSON (PRESIDENT)
(318) 965-9270
Entity
Organization
Contact information
Practice address
854 LINTON RD, BENTON, LA 71006-9700
(318) 965-3899
(318) 965-9270
Mailing address
854 LINTON RD, BENTON, LA 71006-9700
(318) 965-3899
(318) 965-9270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529125
—
LA
Enumeration date
05/01/2006
Last updated
11/12/2008
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