Organization
ACADIANA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE NICHOLSON (OWNER)
(337) 560-5386
Entity
Organization
Contact information
Practice address
1201 CENTER ST, NEW IBERIA, LA 70560-6138
(337) 560-5386
Mailing address
1201 CENTER ST, NEW IBERIA, LA 70560-6138
(337) 560-5386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2942191001
LA
Other
Enumeration date
10/27/2005
Last updated
06/12/2008
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