Provider Demographics
NPI:1710282413
Name:ACCESSIBLE LIVING
Entity Type:Organization
Organization Name:ACCESSIBLE LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:RODRIGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-205-4066
Mailing Address - Street 1:13745 AYDELL LN
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-8002
Mailing Address - Country:US
Mailing Address - Phone:225-205-4066
Mailing Address - Fax:225-667-3603
Practice Address - Street 1:13745 AYDELL LN
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-8002
Practice Address - Country:US
Practice Address - Phone:225-205-4066
Practice Address - Fax:225-667-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies