MEDICARE: CLHG-AVOYELLES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit

General Provider Information

NPI Number	:	1588228936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLHG-AVOYELLES LLC

Provider Business Mailing Address
First Line	:	PO BOX 249
Second Line	:
City	:	MARKSVILLE
State	:	LA
Zip	:	71351-0249
Country	:	US
Telephone Number	:	318-253-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	426 N WASHINGTON ST
Second Line	:
City	:	MARKSVILLE
State	:	LA
Zip	:	71351-2426
Country	:	US
Telephone Number	:	318-253-8611
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TIMOTHEY CURRY
Credential	:
Telephone Number	:	318-253-8611

Provider Enumeration Date	:	04/30/2019
Last Update Date	:	04/30/2019

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Directions to “CLHG-AVOYELLES LLC ” Practice Location

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