Organization Name: | A & A DURABLE MEDICAL SUPPLY LLC |
NPI Number: | 1669676706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA M JACKSON (CEO) |
Mailing Address: | 24215 Eden St Plaquemine |
State: | LA US |
Postal Code: | 707643714 |
Phone Number: | 2256875365 |
Fax Number: | 2256876833 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |