Whalio Doctors

NPI 1134507908

Active Life Medical Management

Organisation Durable Medical Equipment & Medical Supplies Alexandria, LA

Practice location

Address
4501 Jackson St STE. C-322, Alexandria, LA 71303-2555
Phone
(318) 442-2200
Fax
(318) 442-2208
Mailing address
PO Box 586, Yuba City, CA 95992-0586

Authorised official

Name
Jeffrey Souza
Title
President
Phone
(318) 442-2200

Registered specialties (5)

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X
Customized Equipment (DME)
Suppliers Taxonomy 332BC3200X Licence DME000481 (LA)
Nursing Facility Supplies (DME)
Suppliers Taxonomy 332BN1400X Licence DME000481 (LA)
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X Licence DME000481 (LA)
Oxygen Equipment & Supplies (DME)
Suppliers Taxonomy 332BX2000X Licence DME000481 (LA)

Registry record

NPI
1134507908
Entity type
Organization
NPI issued
13 May 2015
Record last updated
13 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.