ACTIVE MEDICAL SUPPORT, LLC
Medical Equipment Supplier Yellow Pages
Gretna, Louisiana
Provider NPI: 1487724654
Organization Information:Organization Name: ACTIVE MEDICAL SUPPORT, LLC
Practice Location:
433 12TH ST GRETNA, LA 70053 US
Tel: 504-304-8424 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
433 12TH ST GRETNA, LA 70053 US
Tel: 504-304-8424 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | LA | ========= |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1310093 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin