NPI 1295298321
Swamp Elite Retreat INC
Practice location
- Address
- 46424 Rufus Bankston Rd STE 100, Hammond, LA 70401-6108
- Phone
- (985) 467-0888
- Mailing address
- PO Box 631, Ponchatoula, LA 70454-0631
Authorised official
- Name
- Trina Haynes
- Title
- Director
- Phone
- (985) 467-0888
Registered specialties (2)
Durable Medical Equipment & Medical Supplies
Primary
Prosthetic/Orthotic Supplier
Registry record
- NPI
- 1295298321
- Entity type
- Organization
- NPI issued
- 6 Apr 2019
- Record last updated
- 6 May 2024
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.