Organization
SYLVIAS HOME MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE ST. ROMAIN (OWNER)
(318) 346-2540
Entity
Organization
Contact information
Practice address
104 W CHURCH ST, BUNKIE, LA 71322-1717
(318) 346-2518
(318) 346-2546
Mailing address
PO BOX 301, 104 W. CHURCH STREET, BUNKIE, LA 71322-0301
(318) 346-2518
(318) 346-2546
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018350
—
LA
Enumeration date
01/29/2007
Last updated
04/18/2011
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