MAGNOLIA DURABLE MEDICAL EQUIPMENT INC. NPI 1841427788

NPI Information

MAGNOLIA DURABLE MEDICAL EQUIPMENT INC. is a prosthetic orthotic supplier in Shreveport, LA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MAGNOLIA DURABLE MEDICAL EQUIPMENT INC. NPI is 1841427788. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is No.

The provider's business location address is:

2005 CRESWELL STREET
SHREVEPORT, LA
ZIP 71104-201
Phone: (318) 678-0907

The provider's authorized official is Dewarrent L. Brantley .
The authorized official title is Ceo/ President and has the following contact phone number (318) 678-0709.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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