Resurrection Center Of Louisiana

NPI 1144660028 - Counselor - 101Y00000X

NPI Details
NPI 1144660028
Enumeration Date 06/25/2013
Last Updated 06/25/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name OMISHA MICHELLE OMISHA
Position OWNER
Phone (318) 455-7275
Fax (318) 658-9134
Practice Location
515 E WASHINGTON ST
SUITE B
SHREVEPORT LA, 71104-3658, US
Phone (318) 455-7275
Fax (318) 658-9134
Business Location
515 E WASHINGTON ST
SUITE B
SHREVEPORT LA, 71104-3658, US
Phone (318) 455-7275
Fax (318) 658-9134
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
Remove 1144660028 NPI Number
 

According to our database, Resurrection Center Of Louisiana NPI is 1144660028, taxonomy code is 101Y00000X Resurrection Center Of Louisiana physically located at 515 E Washington St, Shreveport LA, 71104-3658. NPI Number 1033115704 has the healthcare provider type.

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1144660028 NPI number is provided on an as is basis without warranty of any kind. 1144660028 is maintained by the National Plan & Provider Enumeration System. The contents of Resurrection Center Of Louisiana are for informational purposes only.