Organization
BREEDLOVE MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS L EWING (REGIONAL MGR)
(337) 837-7776
Entity
Organization
Contact information
Practice address
620 BAYOU TORTUE RD, B 1, BROUSSARD, LA 70518-7506
(337) 837-7776
(337) 837-7796
Mailing address
P O 82207, LAFAYETTE, LA 70598
(337) 837-7776
(337) 837-7796
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1477645001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165263
—
LA
Enumeration date
06/29/2007
Last updated
08/22/2020
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