Organization
THE MOBILITY DEPOT OF HOUMA, LLC
Active
Other names
Mobility Depot of Houma
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH EDWARD MENVILLE (OWNER)
(225) 215-2222
Entity
Organization
Contact information
Practice address
501 BARROW ST, SUITE A, HOUMA, LA 70360-4605
(985) 872-4446
(985) 872-6325
Mailing address
7931 ONE CALAIS AVE, BATON ROUGE, LA 70809-3403
(225) 215-2222
(225) 215-2248
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122131
—
LA
01
—
602016500
US DEPT OF LABOR
LA
01
—
690001032
BESTCARE
LA
Enumeration date
04/18/2006
Last updated
04/23/2008
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