Organization
SJC SERVICES LLC
Active
Parent organization
SJC SERVICES LLC
Other names
DynamicCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
SJC SERVICES LLC
Authorized official
MR. STEVEN J COURVILLE (MANAGER)
(337) 984-0123
Entity
Organization
Contact information
Practice address
4551 JOHNSTON ST, LAFAYETTE, LA 70503-4235
(337) 984-0123
(337) 984-5551
Mailing address
PO BOX 51738, LAFAYETTE, LA 70505-1738
(337) 984-0123
(337) 984-5551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455156
—
LA
Enumeration date
03/15/2007
Last updated
11/07/2007
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