Healthcare Provider Details

I. General information

NPI: 1841733557
Provider Name (Legal Business Name): ASHLEY ALFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N 31ST ST STE 1
MONROE LA
71201-3947
US

IV. Provider business mailing address

1921 N RAILROAD AVE
ARCADIA LA
71001-3423
US

V. Phone/Fax

Practice location:
  • Phone: 318-737-7794
  • Fax: 318-605-4800
Mailing address:
  • Phone: 318-579-5105
  • Fax: 318-579-5106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: