Provider Demographics
NPI:1649161134
Name:H.E.A.L. SUPPLY
Entity type:Organization
Organization Name:H.E.A.L. SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:678-927-5418
Mailing Address - Street 1:393 LOSSIE LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-7567
Mailing Address - Country:US
Mailing Address - Phone:678-927-5418
Mailing Address - Fax:
Practice Address - Street 1:2217 GOLDEN EAGLE DR
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-2586
Practice Address - Country:US
Practice Address - Phone:470-269-1532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies