Organization
CENTRAL LOUISIANA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN JOSEPH MAYEUX (PRESIDENT)
(318) 240-7369
Entity
Organization
Contact information
Practice address
125 RUE DE MEDECINE, MARKSVILLE, LA 71351-2426
(318) 240-7369
(318) 240-9437
Mailing address
PO BOX 248, MARKSVILLE, LA 71351-0248
(318) 240-7369
(318) 240-9437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187046
—
LA
Enumeration date
07/09/2006
Last updated
04/27/2011
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