Organization
SJC SERVICES LLC
Active
Parent organization
SJC SERVICES LLC
Other names
DynamicCare HME
Organization subpart
Yes
Provider details
NPI number
Legal business name
SJC SERVICES LLC
Authorized official
MR. STEVEN J. COURVILLE (MANAGER)
(337) 984-0123
Entity
Organization
Contact information
Practice address
4551 JOHNSTON ST, LAFAYETTE, LA 70503-4235
(337) 984-0123
(337) 984-5551
Mailing address
PO BOX 51738, LAFAYETTE, LA 70505-1738
(337) 984-0123
(337) 984-5551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1438448
—
LA
01
—
G1364
BLUE CROSS/BLUE SHIELD LA
LA
Enumeration date
04/01/2006
Last updated
04/20/2008
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