Angel Manor, Llc.

NPI 1023143963 - Clinic/Center - 261QA0600X

NPI Details
NPI 1023143963
Enumeration Date 02/22/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN SAMUEL JOHN
Position ADMINISTRATOR
Phone (337) 232-7761
Fax (337) 232-7762
Practice Location
708 S WASHINGTON ST
LAFAYETTE LA, 70501-6810, US
Phone (337) 232-7761
Fax (337) 232-7762
Business Location
708 S WASHINGTON ST
LAFAYETTE LA, 70501-6810, US
Phone (337) 232-7761
Fax (337) 232-7762
Toxanomy
Taxonomy Code 261QA0600X
License State Louisiana
License Number 251C00000X
Remove 1023143963 NPI Number
 

According to our database, Angel Manor, Llc. NPI is 1023143963, taxonomy code is 261QA0600X and license number is 251C00000X, license state is located at Louisiana. Angel Manor, Llc. physically located at 708 S Washington St, Lafayette LA, 70501-6810. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023143963 NPI number is provided on an as is basis without warranty of any kind. 1023143963 is maintained by the National Plan & Provider Enumeration System. The contents of Angel Manor, Llc. are for informational purposes only.