Organization
EVANGELINE MEDICAL & NURSING SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT DAVID MCELWEE RN (CO OWNER)
(337) 363-3638
Entity
Organization
Contact information
Practice address
1535 W MAIN ST, SUITE 7, VILLE PLATTE, LA 70586-2867
(337) 363-3638
Mailing address
1535 W MAIN ST, SUITE 7, VILLE PLATTE, LA 70586-2867
(337) 363-3638
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2700326-001 0
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159352
—
LA
Enumeration date
12/29/2006
Last updated
08/22/2020
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