Organization
ASSURED HOME MEDICAL RENTAL AND SALES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN O BRIGNAC DME (SECRETARY)
(337) 468-3636
Entity
Organization
Contact information
Practice address
1004 6TH ST, MAMOU, LA 70554-3124
(337) 468-3722
(337) 468-3648
Mailing address
1004 6TH ST, MAMOU, LA 70554-3124
(337) 468-3722
(337) 468-3648
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4568622-001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1176729
—
LA
Enumeration date
05/25/2006
Last updated
07/20/2011
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