Organization
DURAMED, INC
Active
Parent organization
DURAMED, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DURAMED, INC
Authorized official
RICKY WALTER DECASTRO SR. (OWNER/PRESIDENT)
(504) 467-4057
Entity
Organization
Contact information
Practice address
4373 PARK TEN DR, DIAMONDHEAD, MS 39525-3212
(228) 333-9231
Mailing address
1015 24TH ST, KENNER, LA 70062-5268
(504) 467-4057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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