Provider Demographics
NPI:1356626287
Name:SIMPLY SAVONTE, LLC
Entity Type:Organization
Organization Name:SIMPLY SAVONTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-216-0107
Mailing Address - Street 1:6103 FLORIDA BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-0600
Mailing Address - Country:US
Mailing Address - Phone:225-216-0107
Mailing Address - Fax:225-216-0110
Practice Address - Street 1:6103 FLORIDA BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-0600
Practice Address - Country:US
Practice Address - Phone:225-216-0107
Practice Address - Fax:225-216-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier