Provider Demographics
NPI:1669676706
Name:A & A DURABLE MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:A & A DURABLE MEDICAL SUPPLY LLC
Other - Org Name:ON THE RUN ERRANDS RUNNING SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-385-4251
Mailing Address - Street 1:PO BOX 986
Mailing Address - Street 2:24215 EDEN STREET
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70765-0986
Mailing Address - Country:US
Mailing Address - Phone:225-687-5365
Mailing Address - Fax:225-687-6833
Practice Address - Street 1:24215 EDEN ST
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3714
Practice Address - Country:US
Practice Address - Phone:225-687-5365
Practice Address - Fax:225-687-6833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5898800001Medicare NSC