Heavenly Medical Supply

NPI 1447497425 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1447497425
Enumeration Date 01/13/2009
Last Updated 01/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CLAUDIA DENICE CLAUDIA
Position MEDICAL SUPPLIER
Phone (318) 283-1210
Fax
Practice Location
6349 ESTATES DR
BASTROP LA, 71220-9749, US
Phone (318) 283-1210
Fax
Business Location
6349 ESTATES DR
BASTROP LA, 71220-9749, US
Phone
Fax
Toxanomy
Taxonomy Code 320700000X
License State
License Number
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According to our database, Heavenly Medical Supply NPI is 1447497425, taxonomy code is 320700000X Heavenly Medical Supply physically located at 6349 Estates Dr, Bastrop LA, 71220-9749. NPI Number 1033115704 has the healthcare provider type.

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1447497425 NPI number is provided on an as is basis without warranty of any kind. 1447497425 is maintained by the National Plan & Provider Enumeration System. The contents of Heavenly Medical Supply are for informational purposes only.