Organization
ELITE MEDICAL SERVICES, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY TOMMY ROBICHEAUX JR. (OWNER)
(337) 856-1001
Entity
Organization
Contact information
Practice address
203 CHURCH ST, YOUNGSVILLE, LA 70592
(337) 856-1001
(337) 856-1002
Mailing address
PO BOX 31, YOUNGSVILLE, LA 70592-0031
(337) 856-1001
(337) 856-1002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1409031
—
LA
Enumeration date
09/22/2006
Last updated
10/14/2008
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