Organization · Type 2 NPI
Complete Vital Care, Inc.
Parenteral & Enteral Nutrition Supplies (DME) · Shreveport, LA
NPI number
1386668804
Active
Practice location
2530 Bert Kouns Industrial Loop, Ste 116
Shreveport, LA 71118-3132
Fax (318) 686-9997
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | 4863 IR (LA) |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
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About NPI 1386668804
Complete Vital Care, Inc.'s National Provider Identifier is 1386668804, issued on Jul 27, 2006. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Shreveport, LA. The record was last updated on Aug 22, 2020.