Provider Demographics
NPI:1033456819
Name:RED STICK REFINISHING LLC
Entity Type:Organization
Organization Name:RED STICK REFINISHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-276-4487
Mailing Address - Street 1:34270 QUARTER HORSE LN
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-4540
Mailing Address - Country:US
Mailing Address - Phone:225-276-4487
Mailing Address - Fax:225-664-4702
Practice Address - Street 1:34270 QUARTER HORSE LN
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-4540
Practice Address - Country:US
Practice Address - Phone:225-276-4487
Practice Address - Fax:225-664-4702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies