| 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 | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA CRT.LT3308) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |