Provider Demographics
NPI:1134283302
Name:GRAHAMS RELIABLE MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:GRAHAMS RELIABLE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:III
Authorized Official - Credentials:OWNER
Authorized Official - Phone:225-246-7756
Mailing Address - Street 1:4500 SHERWOOD COMMON
Mailing Address - Street 2:APT 1415
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816
Mailing Address - Country:US
Mailing Address - Phone:225-302-4463
Mailing Address - Fax:225-246-7756
Practice Address - Street 1:4500 SHERWOOD COMMON BLVD
Practice Address - Street 2:APT 1415
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4256
Practice Address - Country:US
Practice Address - Phone:225-246-7756
Practice Address - Fax:225-246-7756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies