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NPI Code Detail

MEDICARE: DEPARTMENT OF HEALTH AND HOSPITALS

MEDICARE: DEPARTMENT OF HEALTH AND HOSPITALS
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
1324500000XSubstance Abuse Rehabilitation Facility286LA

General Provider Information

NPI Number : 1285699629
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPARTMENT OF HEALTH AND HOSPITALS
Provider Business Mailing Address
First Line : 1416 NATCHITOCHES ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-3751
Country : US
Telephone Number : 318-362-5430
Fax Number : 318-362-5428
Provider Business Practice Location Address
First Line : 1416 NATCHITOCHES ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-3751
Country : US
Telephone Number : 318-362-5430
Fax Number : 318-362-5428
Authorized Official
Title or Position : OAD/REGIONAL ADMINISTRATOR
Name : MRS. PHYLLIS JERRI PARKS
Credential : MSW
Telephone Number : 318-362-3270
Provider Enumeration Date : 04/19/2006
Last Update Date : 08/25/2010

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Directions to “DEPARTMENT OF HEALTH AND HOSPITALS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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