Healthcare Provider Details

I. General information

NPI: 1780975052
Provider Name (Legal Business Name): ALL SEASONS FAMILY CARE OF MONROE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 HUDSON CIRCLE SUITE 10
MONROE LA
71270
US

IV. Provider business mailing address

1888 HUDSON CIR SUITE 10
MONROE LA
71201-3546
US

V. Phone/Fax

Practice location:
  • Phone: 318-387-2828
  • Fax: 318-387-2827
Mailing address:
  • Phone: 318-387-2828
  • Fax: 318-387-2827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JO ANN MECHE
Title or Position: CO OWNER
Credential: NURSE PRACTIONER
Phone: 318-387-2828