Organization
TARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ABELS (CEO)
(985) 549-0712
Entity
Organization
Contact information
Practice address
408 N CYPRESS ST, HAMMOND, LA 70401-2641
(985) 549-0712
(985) 549-0743
Mailing address
408 NORTH CYPRESS STREET, HAMMOND, LA 70401
(985) 549-0712
(985) 549-0743
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137352
—
LA
Enumeration date
03/10/2011
Last updated
03/10/2011
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