Organization
LIFECARE MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C DEPAULA (OWNER/MANAGER)
(985) 542-4343
Entity
Organization
Contact information
Practice address
42014 VETERANS AVE, HAMMOND, LA 70403-1408
(985) 542-4343
(985) 543-0254
Mailing address
42014 VETERANS AVE, HAMMOND, LA 70403-1408
(985) 542-4343
(985) 543-0254
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339041
—
LA
Enumeration date
10/27/2006
Last updated
08/22/2020
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