MEDICARE: DISTRICT DURABLE MEDICAL EQUIPMENT, 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

General Provider Information

NPI Number	:	1336181874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTRICT DURABLE MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	PO BOX 74676
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70874-4676
Country	:	US
Telephone Number	:	225-927-0670
Fax Number	:	225-927-0360

Provider Business Practice Location Address
First Line	:	1821 WOODDALE CT
Second Line	:	STE. 207
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1535
Country	:	US
Telephone Number	:	225-927-0670
Fax Number	:	225-927-0360

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. NEOTHA BOATNER
Credential	:
Telephone Number	:	225-927-0670

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/22/2020

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