| NPI Details | |
|---|---|
| NPI | 1073731220 |
| Enumeration Date | 04/23/2007 |
| Last Updated | 07/09/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | AUGUSTA AUGUSTA |
| Position | CEO |
| Phone | (318) 925-4215 |
| Fax | |
| Practice Location | |
|---|---|
| 911 W MAIN ST C HOMER LA, 71040-3300, US |
|
| Phone | (318) 925-4215 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 9425 MONROE LA, 71211-9425, US |
|
| Phone | (318) 325-5221 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251C00000X |
| License State | Louisiana |
| License Number | 9233 |
| Remove 1073731220 NPI Number | |
According to our database, A And L Of Northeast Inc NPI is 1073731220, taxonomy code is 251C00000X and license number is 9233, license state is located at Louisiana. A And L Of Northeast Inc physically located at 911 W Main St, Homer LA, 71040-3300. NPI Number 1033115704 has the healthcare provider type.
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1073731220 NPI number is provided on an as is basis without warranty of any kind. 1073731220 is maintained by the National Plan & Provider Enumeration System. The contents of A And L Of Northeast Inc are for informational purposes only.
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