NPI 1447497425

Heavenly Medical Supply

Organisation Physical Disabilities Residential Treatment Facility Bastrop, LA

Practice location

Address: 6349 Estates Dr, Bastrop, LA 71220-9749
Phone: (318) 283-1210

Authorised official

Name: Claudia Denice Harris
Title: Medical Supplier
Phone: (318) 283-1210

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Louisiana →

Registry record

NPI: 1447497425
Entity type: Organization
NPI issued: 13 Jan 2009
Record last updated: 13 Jan 2009

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.