MEDICARE: JUST LIKE YOU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	C6819	OTHER	LA	BLUE CROSS PROV. NUMBER

General Provider Information

NPI Number	:	1225030380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST LIKE YOU

Provider Business Mailing Address
First Line	:	2002 E KENTUCKY AVE
Second Line	:
City	:	RUSTON
State	:	LA
Zip	:	71270-6623
Country	:	US
Telephone Number	:	318-255-5131
Fax Number	:	318-255-5769

Provider Business Practice Location Address
First Line	:	2002 E KENTUCKY AVE
Second Line	:
City	:	RUSTON
State	:	LA
Zip	:	71270-6623
Country	:	US
Telephone Number	:	318-255-5131
Fax Number	:	318-255-5769

Authorized Official
Title or Position	:	OWNER
Name	:	ANN M WARD
Credential	:
Telephone Number	:	318-396-6789

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	08/22/2020

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Directions to “JUST LIKE YOU ” Practice Location

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