Healthcare Provider Details
I. General information
NPI: 1407640261
Provider Name (Legal Business Name): ARNINA CAGE
Entity Type: Individual
Gender:
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
314 HICKORY ST
WEST MONROE LA
71292-6725
US
IV. Provider business mailing address
314 HICKORY ST
WEST MONROE LA
71292-6725
US
V. Phone/Fax
- Phone: 318-600-2420
- Fax:
- Phone: 318-600-2420
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: