Provider Demographics
NPI:1669700522
Name:NOLA MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:NOLA MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOLIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCCALEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-892-3838
Mailing Address - Street 1:2621 N. CAUSEWAY BLVD.
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471
Mailing Address - Country:US
Mailing Address - Phone:985-892-3838
Mailing Address - Fax:985-249-2789
Practice Address - Street 1:2621 N. CAUSEWAY BLVD.
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471
Practice Address - Country:US
Practice Address - Phone:985-892-3838
Practice Address - Fax:985-249-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA89040712332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies