NPI | 1205873122 |
---|---|
Doing Business As | MESSIAH MEDICAL |
Entity Type | Organization |
Authorized Contact | BRIAN ODELL KELLY ODELL President 318-671-5303 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA CRT.LT3308) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
332900000X Non-Pharmacy Dispensing Site | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2025-09-11 |