Provider Demographics
NPI:1093181992
Name:C&C INVESTMENT HOLDINGS LLC
Entity Type:Organization
Organization Name:C&C INVESTMENT HOLDINGS LLC
Other - Org Name:MISS-LOU MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:318-757-8711
Mailing Address - Street 1:PO BOX 1757
Mailing Address - Street 2:
Mailing Address - City:FERRIDAY
Mailing Address - State:LA
Mailing Address - Zip Code:71334-1757
Mailing Address - Country:US
Mailing Address - Phone:318-757-8711
Mailing Address - Fax:318-757-8716
Practice Address - Street 1:1411 EE WALLACE BLVD N
Practice Address - Street 2:
Practice Address - City:FERRIDAY
Practice Address - State:LA
Practice Address - Zip Code:71334-2244
Practice Address - Country:US
Practice Address - Phone:318-757-8711
Practice Address - Fax:318-757-8716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies