Organization
ESSENTIAL MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARAH DANIELLE MARTIN (HEALTHCARE ADMINISTRATOR)
(225) 349-9366
Entity
Organization
Contact information
Practice address
3605 MCVEA STREET, BAKER, LA 70714-3518
(225) 681-3551
Mailing address
3605 MCVEA STREET, BAKER, LA 70714-3518
(225) 681-3551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
332BC3200X
Customized Equipment (DME)
—
LA
332BD1200X
Dialysis Equipment & Supplies (DME)
—
LA
332BN1400X
Nursing Facility Supplies (DME)
—
LA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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