Provider Demographics
NPI:1386918266
Name:RMJM ENTERPRISE, INC.
Entity type:Organization
Organization Name:RMJM ENTERPRISE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:REMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-358-1600
Mailing Address - Street 1:6310 MERRYDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70812-3018
Mailing Address - Country:US
Mailing Address - Phone:225-358-1600
Mailing Address - Fax:225-358-1505
Practice Address - Street 1:6310 MERRYDALE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70812-3018
Practice Address - Country:US
Practice Address - Phone:225-358-1600
Practice Address - Fax:225-358-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1476773Medicaid
LA1476773Medicaid