Organization
SHAMA PULMONARY REHABILITATION CENTER INC
Active
Other names
Shama Respiratory Services & HME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA CAROL FOURROUX (PRESIDENT)
(318) 428-8233
Entity
Organization
Contact information
Practice address
212 E JEFFERSON ST, OAK GROVE, LA 71263-2535
(318) 428-8233
Mailing address
PO BOX 676, OAK GROVE, LA 71263-0676
(318) 428-8233
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
LT3348
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457485
—
LA
Enumeration date
06/18/2006
Last updated
01/21/2011
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