Active Life Medical Management
NPI #1134507908 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1134507908
- Entity Type
- Organization
- Organization Name
- Active Life Medical Management
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 13, 2015
- Last Updated
- May 13, 2015
Practice Location
- Address
- 4501 JACKSON ST
- Address 2
- STE. C-322
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71303-2555
- Phone
- (318) 442-2200
Authorized Official
- Name
- JEFFREY SOUZA
- Title
- PRESIDENT
- Phone
- (318) 442-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Durable Medical Equipment & Medical Supplies |
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