| NPI | 1336514504 |
|---|---|
| Doing Business As | DERIDDER MEDICAL EQUIPMENT SUPPLY, LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES JENKINS Managing Member 318-202-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2016-01-05 |