Organization
PETERS,LLC
Active
Parent organization
PETERS,LLC
Other names
PETERS, LLC - DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETERS,LLC
Authorized official
MS. EVEDNA MANGRUM (FINANCE/CO-OWNER)
(985) 986-4400
Entity
Organization
Contact information
Practice address
29257 COTNEY PETERS RD, ANGIE, LA 70426-1868
(985) 986-4400
(985) 986-4411
Mailing address
29257 COTNEY PETERS RD, ANGIE, LA 70426-1868
(985) 986-4400
(985) 986-4411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030287
—
LA
01
—
C08502849
EDI SUBMITTER
LA
Enumeration date
06/11/2006
Last updated
04/21/2008
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