Organization
DIABETES EXPRESS SUPPLY CO. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDRICK M EBANKS MSW, GSW (PRESIDENT)
(225) 925-2232
Entity
Organization
Contact information
Practice address
4560 NORTH BLVD STE 102-B, BATON ROUGE, LA 70806-4043
(225) 925-2232
(225) 926-4713
Mailing address
4560 NORTH BLVD. STE 102-B, BATON ROUGE, LA 70806-4043
(225) 925-2232
(225) 926-4713
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10-00733-137
LA
Other
Enumeration date
08/05/2006
Last updated
10/14/2008
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