Organization
T L EQUIPMENT DISTRIBUTORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D GRIMM (PRESIDENT)
(225) 769-7252
Entity
Organization
Contact information
Practice address
5213 BUTTER CREEK LN, STE. #2, BATON ROUGE, LA 70809-3651
(225) 769-7252
(877) 528-2079
Mailing address
5213 BUTTER CREEK LN, STE. #2, BATON ROUGE, LA 70809-3651
(225) 769-7252
(877) 528-2079
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158453
—
LA
Enumeration date
02/28/2007
Last updated
08/22/2020
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