Organization
SOUTHERN MEDICAL-ADAPTIVE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN P DORR JR. (PRESIDENT)
(985) 288-4641
Entity
Organization
Contact information
Practice address
1522 W. LINDBERG DRIVE, SLIDELL, LA 70458-8058
(985) 288-4631
(985) 288-4641
Mailing address
1522 W. LINDBERG DRIVE, SLIDELL, LA 70458-8058
(985) 288-4631
(985) 288-4641
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1808725
—
LA
Enumeration date
11/16/2009
Last updated
02/05/2016
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