Organization Name: | ADVANCED RENOVATION SOLUTIONS |
NPI Number: | 1023187804 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONA ANDREWS (PRESIDENT) |
Mailing Address: | 21350 La Highway 16 Denham Springs |
State: | LA US |
Postal Code: | 707267509 |
Phone Number: | 2257911911 |
Fax Number: | 2256677997 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 1463001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |