MEDICARE: RMJM ENTERPRISE, INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396743795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RMJM ENTERPRISE, INC.

Provider Business Mailing Address
First Line	:	6310 MERRYDALE AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-3018
Country	:	US
Telephone Number	:	225-358-1600
Fax Number	:	225-358-1505

Provider Business Practice Location Address
First Line	:	6310 MERRYDALE AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-3018
Country	:	US
Telephone Number	:	225-358-1600
Fax Number	:	225-358-1505

Authorized Official
Title or Position	:	SECRETARY/TREASURER
Name	:	MRS. MARILYN BOYD REMBERT
Credential	:
Telephone Number	:	225-358-1600

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/17/2012

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