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Organization

LIBERTY HEALTHCARE SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENJAMIN AMADI (PRESIDENT)
(225) 925-1400
Entity
Organization

Contact information

Practice address
5101 FLORIDA BLVD, BATON ROUGE, LA 70806-4126
(225) 925-1400
(225) 355-7266
Mailing address
5101 FLORIDA BLVD, BATON ROUGE, LA 70806-4126
(225) 925-1400
(225) 355-7266

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1807915
LA
Enumeration date
12/26/2008
Last updated
06/14/2010
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