Organization
CDM MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA SUE FOSTER (OWNER/MANAGER)
(318) 728-3597
Entity
Organization
Contact information
Practice address
70 CABUCK LANE, RAYVILLE, LA 71269
(318) 728-3597
(318) 728-9201
Mailing address
70 CABUCK LANE, RAYVILLE, LA 71269
(318) 728-3597
(318) 728-9201
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
3731643-001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628972
—
LA
Enumeration date
09/26/2006
Last updated
08/22/2020
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