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NPI Code Detail

MEDICARE: COMPLETE PATIENT SERVICES LLC

MEDICARE: COMPLETE PATIENT SERVICES LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies89101288LA

Other Identifiers

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

General Provider Information

NPI Number : 1295941243
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE PATIENT SERVICES LLC
Provider Business Mailing Address
First Line : 70161 HIGHWAY 59
Second Line : SUITE C
City : ABITA SPRINGS
State : LA
Zip : 70420-3706
Country : US
Telephone Number : 985-892-7775
Fax Number : 985-892-4230
Provider Business Practice Location Address
First Line : 70161 HIGHWAY 59
Second Line : SUITE C
City : ABITA SPRINGS
State : LA
Zip : 70420-3706
Country : US
Telephone Number : 985-892-7775
Fax Number : 985-892-4230
Authorized Official
Title or Position : OWNER
Name : MRS. DEBRA G STOUDENMIRE
Credential :
Telephone Number : 251-460-0300
Provider Enumeration Date : 05/15/2007
Last Update Date : 04/09/2011

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Directions to “COMPLETE PATIENT SERVICES LLC ” Practice Location

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