Provider Demographics
NPI:1609367283
Name:ACADIANA MEDICAL EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:ACADIANA MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:GUILBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-316-0573
Mailing Address - Street 1:126 BRIGANTE PL
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4602
Mailing Address - Country:US
Mailing Address - Phone:337-316-0573
Mailing Address - Fax:337-573-7036
Practice Address - Street 1:126 BRIGANTE PL
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4602
Practice Address - Country:US
Practice Address - Phone:337-316-0573
Practice Address - Fax:337-573-7036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-19
Last Update Date:2018-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies