Healthcare Provider Details

I. General information

NPI: 1497917355
Provider Name (Legal Business Name): NEAL W ANGRUM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1349 HWY 37
GREENSBURG LA
70441
US

IV. Provider business mailing address

408 THATCHER LN
MONROE LA
71203-6516
US

V. Phone/Fax

Practice location:
  • Phone: 225-222-3243
  • Fax:
Mailing address:
  • Phone: 225-222-3243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. NEAL W ANGRUM
Title or Position: OWNER
Credential:
Phone: 318-450-1478