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NPI Code Detail

MEDICARE: FERBET TAKE CARE HEALTH LOUISIANA, A PROFESSIONAL NURSING CORP.

MEDICARE: FERBET TAKE CARE HEALTH LOUISIANA, A PROFESSIONAL NURSING CORP.
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
1363LF0000XFamily Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285882613
Entity Type Code : Organization
Provider Name (Legal Business Name) : FERBET TAKE CARE HEALTH LOUISIANA, A PROFESSIONAL NURSING CORP.
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST
Second Line : MS 640
City : DANVILLE
State : IL
Zip : 61834-4509
Country : US
Telephone Number : 855-925-4733
Fax Number : 217-709-2345
Provider Business Practice Location Address
First Line : 2880 HIGHWAY 190
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-3254
Country : US
Telephone Number : 855-925-4733
Fax Number : 217-709-2345
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : DEBORAH HEGG
Credential :
Telephone Number : 217-709-2469
Provider Enumeration Date : 08/27/2008
Last Update Date : 02/25/2016

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Directions to “FERBET TAKE CARE HEALTH LOUISIANA, A PROFESSIONAL NURSING CORP. ” Practice Location

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