Organization Name: | ACADIA ST LANDRY GUEST HOME, INC |
NPI Number: | 1700868569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN HENSGENS (ADMINISTRATOR) |
Mailing Address: | 830 S Broadway St Church Point |
State: | LA US |
Postal Code: | 705254402 |
Phone Number: | 3376846316 |
Fax Number: | 3376846315 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |