NPI 1396769816

Complete Vital Care, INC.

Organisation Customized Equipment (DME) Natchitoches, LA

Practice location

Address: 325 Dixie Plz STE B, Natchitoches, LA 71457-5880
Phone: (318) 352-2461
Fax: (318) 357-0778
Mailing address: PO Box 5047, Meridian, MS 39302-5047

Authorised official

Name: George Gardiner
Title: President
Phone: (318) 352-2461

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence 3763 IR (LA)

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Registry record

NPI: 1396769816
Entity type: Organization
NPI issued: 27 Jul 2006
Record last updated: 22 Aug 2020

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.