Organization
CRESCENT VANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA L SCOTT (OFFICE MANAGER)
(504) 738-2634
Entity
Organization
Contact information
Practice address
2424 HICKORY AVE, METAIRIE, LA 70003
(504) 738-2634
(504) 738-2663
Mailing address
2424 HICKORY AVE, METAIRIE, LA 70003
(504) 738-2634
(504) 738-2663
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2846137001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722316
—
LA
05
—
1958379
—
LA
Enumeration date
03/08/2007
Last updated
08/22/2020
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