Organization
MARIAN'S MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTWANETTE COLLINS (OWNER-CEO)
(225) 454-6852
Entity
Organization
Contact information
Practice address
11447 FLORIDA BLVD, BATON ROUGE, LA 70815-2404
(225) 454-6852
Mailing address
PO BOX 41092, BATON ROUGE, LA 70835-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881171
—
LA
Enumeration date
04/22/2009
Last updated
03/31/2010
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