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Organization

SOUTHEAST DME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON HAMIDE PHARM (OWNER)
(504) 333-6071
Entity
Organization

Contact information

Practice address
5745 PLAUCHE CT, STE B, HARAHAN, LA 70123-4119
(504) 333-6071
Mailing address
5745 PLAUCHE CT, STE B, HARAHAN, LA 70123-4119

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/09/2014
Last updated
05/09/2014
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