Healthcare Provider Details

I. General information

NPI: 1851320741
Provider Name (Legal Business Name): PSALMS 23 DME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 KABEL DR SUITE H
NEW ORLEANS LA
70131-6990
US

IV. Provider business mailing address

3351 KABEL DR SUITE H
NEW ORLEANS LA
70131-6990
US

V. Phone/Fax

Practice location:
  • Phone: 504-392-5811
  • Fax: 504-392-5642
Mailing address:
  • Phone: 504-392-5811
  • Fax: 504-392-5642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1199589
License Number StateLA

VIII. Authorized Official

Name: MRS. TRACY RICHARDSON BROWN
Title or Position: CEO
Credential:
Phone: 504-228-6160