Organization
WHEELY LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY HILL (TREASURER)
(337) 552-4414
Entity
Organization
Contact information
Practice address
230 FAIRWOOD DR, BROUSSARD, LA 70518-4898
(337) 552-4414
Mailing address
PO BOX 322, BROUSSARD, LA 70518-0322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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