Organization
DME DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE HASSAN ROUSSELL (VICE-PRESIDENT)
(504) 288-3799
Entity
Organization
Contact information
Practice address
105 HARBOR CIR, NEW ORLEANS, LA 70126-1101
(504) 288-3799
(504) 288-3752
Mailing address
105 HARBOR CIR, NEW ORLEANS, LA 70126-1101
(504) 288-3799
(504) 288-3752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
36-0010911
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
36-0010911
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100676
—
LA
01
—
G0702
BCBS OF LA PROVIDER ID
LA
Enumeration date
07/15/2006
Last updated
12/22/2010
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