MEDICARE: ANN WARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043212723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANN WARD

Provider Business Mailing Address
First Line	:	PO BOX 698
Second Line	:
City	:	RUSTON
State	:	LA
Zip	:	71273-0698
Country	:	US
Telephone Number	:	318-255-5131
Fax Number	:	318-396-0321

Provider Business Practice Location Address
First Line	:	4900 CYPRESS ST
Second Line	:	SUITE 5
City	:	WEST MONROE
State	:	LA
Zip	:	71291-7670
Country	:	US
Telephone Number	:	318-396-6789
Fax Number	:	318-396-0321

Authorized Official
Title or Position	:	OWNER
Name	:	ANN M WARD
Credential	:
Telephone Number	:	318-255-5131

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	06/16/2008

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