Healthcare Provider Details

I. General information

NPI: 1992716823
Provider Name (Legal Business Name): MEDICAL/HEALTHCARE ENTERPRISES INTERNATIONAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 05/16/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 HWY 71
CAMPTI LA
71411
US

IV. Provider business mailing address

3117 HWY 71
CAMPTI LA
71411
US

V. Phone/Fax

Practice location:
  • Phone: 318-527-0104
  • Fax: 318-527-0108
Mailing address:
  • Phone: 318-527-0104
  • Fax: 318-527-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number251E00000X
License Number StateLA

VIII. Authorized Official

Name: MR. ROCK M BORDELON
Title or Position: OWNER
Credential:
Phone: 318-226-8202