Healthcare Provider Details

I. General information

NPI: 1881321131
Provider Name (Legal Business Name): SAVOY MEDICAL MANAGEMENT GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 COURT ST.
OBERLIN LA
70655
US

IV. Provider business mailing address

801 POINCIANA AVE
MAMOU LA
70554-2298
US

V. Phone/Fax

Practice location:
  • Phone: 337-468-0427
  • Fax: 337-468-3342
Mailing address:
  • Phone: 337-639-2067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LANCE JOSEPH ARMENTOR
Title or Position: CEO
Credential:
Phone: 337-468-0350