Organization
DURAMED, INC
Active
Parent organization
DURAMED, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DURAMED, INC
Authorized official
RICKY WALTER DECASTRO (OWNER/PRESIDENT)
(504) 467-4057
Entity
Organization
Contact information
Practice address
486 BROWNSWITCH RD, SLIDELL, LA 70458-1102
(985) 319-2969
Mailing address
1015 24TH ST, KENNER, LA 70062-5268
(504) 467-4057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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