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Organization

FANTASTIC HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GABRIEL I. EKECHEKWU (PRESIDENT)
(504) 254-2924
Entity
Organization

Contact information

Practice address
16500 CHEF MENTEUR HWY., NEW ORLEANS, LA 70129-2432
(504) 254-2924
(504) 254-2925
Mailing address
16500 CHEF MENTEUR HWY., NEW ORLEANS, LA 70129
(504) 254-2924
(504) 254-2925

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4542817-001
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1621331
LA
Enumeration date
12/28/2006
Last updated
05/23/2008
About Stedi
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  • EDI platform