Organization
MEDICAL 1 PATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX COLE (EXECUTIVE DIRECTOR)
(225) 291-0503
Entity
Organization
Contact information
Practice address
11768 S HARRELLS FERRY RD, SUITE D, BATON ROUGE, LA 70816-2394
(225) 291-0503
(225) 291-0510
Mailing address
PO BOX 87356, BATON ROUGE, LA 70879-8356
(225) 291-0503
(225) 291-0510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1770114001
LA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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