Organization
GULF COAST MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL GIANGROSSO SR. CAPS (DIRECTOR)
(504) 838-1566
Entity
Organization
Contact information
Practice address
1204 JEFFERSON HWY, JEFFERSON, LA 70121-2405
(504) 838-1566
Mailing address
1204 JEFFERSON HWY, JEFFERSON, LA 70121-2405
(504) 838-1566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
555030
LA
335E00000X
Prosthetic/Orthotic Supplier
555030
LA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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