Provider Demographics
NPI:1497022933
Name:STILL YOU INCORPORATED
Entity Type:Organization
Organization Name:STILL YOU INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:SISTRUNK
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:NCISI
Authorized Official - Phone:225-665-0696
Mailing Address - Street 1:12217 DOVE HOLLOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRIINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-0696
Mailing Address - Country:US
Mailing Address - Phone:225-665-0696
Mailing Address - Fax:
Practice Address - Street 1:12217 DOVE HOLLOW DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-6847
Practice Address - Country:US
Practice Address - Phone:225-665-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STILL YOU INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies