Organization
HOME MEDICAL EQUIPMENT 2000 - OPELOUSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MILLER (ADMINISTRATOR)
(337) 562-1140
Entity
Organization
Contact information
Practice address
1119 PRUDHOMME CIR, OPELOUSAS, LA 70570-6544
(337) 594-8336
(337) 594-8004
Mailing address
1901 OAK PARK BLVD, LAKE CHARLES, LA 70601-8915
(337) 562-1140
(337) 562-1142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
04-06228
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555720
—
LA
Enumeration date
10/06/2006
Last updated
03/11/2008
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