Healthcare Provider Details

I. General information

NPI: 1265730485
Provider Name (Legal Business Name): SAVOY MEDICAL MANAGEMENT GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 POINCIANA AVE
MAMOU LA
70554
US

IV. Provider business mailing address

801 POINCIANA AVE
MAMOU LA
70554-2243
US

V. Phone/Fax

Practice location:
  • Phone: 337-468-4038
  • Fax:
Mailing address:
  • Phone: 337-468-4038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: JAMES SCHUESSLER
Title or Position: CEO
Credential:
Phone: 337-468-0355