Healthcare Provider Details

I. General information

NPI: 1417689266
Provider Name (Legal Business Name): PARAMOUNT HEALTHCARE CONSULTANTS -NEW IBERIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 E MAIN ST
NEW IBERIA LA
70560-4031
US

IV. Provider business mailing address

2319 E MAIN ST
NEW IBERIA LA
70560-4031
US

V. Phone/Fax

Practice location:
  • Phone: 337-365-8226
  • Fax:
Mailing address:
  • Phone: 337-365-8226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAWNE SMITH
Title or Position: MANAGER
Credential:
Phone: 318-812-2140