Organization
JRJ SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET BROWN (MANAGER)
(318) 218-5928
Entity
Organization
Contact information
Practice address
132 BROWN RD, BENTON, LA 71006-4715
(318) 218-5928
Mailing address
132 BROWN RD, BENTON, LA 71006-4715
(318) 218-5928
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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