Organization
FOURCO, INC.
Active
Parent organization
FOURCO, INC
Other names
PROFESSIONAL HOME MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOURCO, INC
Authorized official
GLADYS M FOURNET PT. ADV. (PRESIDENT)
(337) 828-0989
Entity
Organization
Contact information
Practice address
848 MARGUERITE ST, MORGAN CITY, LA 70380-1837
(985) 384-0689
(985) 384-2689
Mailing address
1524 HOSPITAL AVE, FRANKLIN, LA 70538-3723
(337) 828-0989
(337) 828-3414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216364
—
LA
Enumeration date
03/26/2008
Last updated
08/15/2011
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