Northwest La Incs, Llc

NPI 1083743041 - Point of Service - 305S00000X

NPI Details
NPI 1083743041
Enumeration Date 03/05/2007
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
4111 METRO DR
SHREVEPORT LA, 71109-6001, US
Phone (318) 636-0390
Fax (318) 635-3298
Business Location
4111 METRO DR
SHREVEPORT LA, 71109-6001, US
Phone (318) 636-0390
Fax (318) 635-3298
Toxanomy
Taxonomy Code 305S00000X
License State Louisiana
License Number 11761
Remove 1083743041 NPI Number
 

According to our database, Northwest La Incs, Llc NPI is 1083743041, taxonomy code is 305S00000X and license number is 11761, license state is located at Louisiana. Northwest La Incs, Llc physically located at 4111 Metro Dr, Shreveport LA, 71109-6001. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083743041 NPI number is provided on an as is basis without warranty of any kind. 1083743041 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest La Incs, Llc are for informational purposes only.