Provider Demographics
NPI:1528230927
Name:MINDEN HOMECARE EQUIPMENT & UNIFORMS, LLC
Entity Type:Organization
Organization Name:MINDEN HOMECARE EQUIPMENT & UNIFORMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-382-8500
Mailing Address - Street 1:410 N. ARKANSAS HWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGHILL
Mailing Address - State:LA
Mailing Address - Zip Code:71075
Mailing Address - Country:US
Mailing Address - Phone:318-539-9500
Mailing Address - Fax:318-539-9010
Practice Address - Street 1:410 N. ARKANSAS HWY
Practice Address - Street 2:
Practice Address - City:SPRINGHILL
Practice Address - State:LA
Practice Address - Zip Code:71075
Practice Address - Country:US
Practice Address - Phone:318-539-9500
Practice Address - Fax:318-539-9010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINDEN HOMECARE EQUIPMENT & UNIFORMS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332B20000X332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies