A-1 Northwest La Incs, Llc

NPI 1073638516 - Point of Service - 305S00000X

NPI Details
NPI 1073638516
Enumeration Date 03/21/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CINDY S CINDY
Position REGIONAL COORDINATOR
Phone (318) 636-0390
Fax (318) 635-3298
Practice Location
103 W ALABAMA AVE
RUSTON LA, 71270-4403, US
Phone (318) 636-0390
Fax (318) 635-3298
Business Location
PO BOX 1345
RUSTON LA, 71273-1345, US
Phone (318) 636-0390
Fax (318) 635-3298
Toxanomy
Taxonomy Code 305S00000X
License State Louisiana
License Number 11882
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According to our database, A-1 Northwest La Incs, Llc NPI is 1073638516, taxonomy code is 305S00000X and license number is 11882, license state is located at Louisiana. A-1 Northwest La Incs, Llc physically located at 103 W Alabama Ave, Ruston LA, 71270-4403. NPI Number 1033115704 has the healthcare provider type.

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1073638516 NPI number is provided on an as is basis without warranty of any kind. 1073638516 is maintained by the National Plan & Provider Enumeration System. The contents of A-1 Northwest La Incs, Llc are for informational purposes only.