Peters,LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Angie, LA
NPI 1982646501 · NPPES record last updated Apr 21, 2008
Key facts
- NPI
- 1982646501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- PETERS,LLC
- Practice address
- 29257 Cotney Peters Rd
Angie, LA 70426-1868 - Phone
- (985) 986-4400
- Fax
- (985) 986-4411
- NPI assigned
- Jun 11, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PETERS,LLC
Authorized official
- Name
- Ms. Evedna Mangrum
- Title
- Finance/Co-Owner
- Phone
- (985) 986-4400
National Provider Directory
- Part of
- Petersllc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
29257 Cotney Peters Rd
Angie, LA 70426-1868
Mailing address
29257 Cotney Peters Rd
Angie, LA 70426-1868
Phone (985) 986-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030287 | Medicaid | LA | |
| C08502849 | Other | LA | EDI SUBMITTER |
Other names
- PETERS, LLC - DME
Other providers in Angie, LA
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- Athena Marie Porter
- Pride and Hope Ministry Family Support
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All providers in Angie, LA · Durable Medical Equipment & Medical Supplies in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.