MEDICARE: CENTRAL HEALTHCARE

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	:	1952614133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL HEALTHCARE

Provider Business Mailing Address
First Line	:	823 N UNION ST
Second Line	:
City	:	OPELOUSAS
State	:	LA
Zip	:	70570-6313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	823 N UNION ST
Second Line	:
City	:	OPELOUSAS
State	:	LA
Zip	:	70570-6313
Country	:	US
Telephone Number	:	337-407-0301
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	CASETHA TEZENO
Credential	:
Telephone Number	:	337-407-9301

Provider Enumeration Date	:	07/16/2010
Last Update Date	:	07/16/2010

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Directions to “CENTRAL HEALTHCARE ” Practice Location

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