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Organization

OMEGA MEDICAL SUPPLY CO. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOYCE MARIE WILSON (CEO)
(225) 667-9669
Entity
Organization

Contact information

Practice address
1970 FLORIDA BLVD, SUITE C, DENHAM SPRINGS, LA 70726-4948
(225) 667-9669
(225) 667-9636
Mailing address
1970 FLORIDA AVE SW, SUITE C, DENHAM SPRINGS, LA 70726-4948
(225) 667-9669
(225) 667-9636

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1029963
LA
01
1679604557
NPI
LA
Enumeration date
03/09/2007
Last updated
03/03/2008
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