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NPI Code Detail

MEDICARE: CLEOTHIS CUMMINGS

MEDICARE: CLEOTHIS CUMMINGS
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
1171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1457703688
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLEOTHIS CUMMINGS
Provider Business Mailing Address
First Line : 1705 FELICIA AVE
Second Line :
City : TALLULAH
State : LA
Zip : 71282-8203
Country : US
Telephone Number : 318-574-1232
Fax Number : 318-574-8646
Provider Business Practice Location Address
First Line : 617 E MADISON AVE
Second Line :
City : BASTROP
State : LA
Zip : 71220-3833
Country : US
Telephone Number : 318-239-3890
Fax Number : 318-239-3891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2016
Last Update Date : 04/08/2026

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Directions to “ CLEOTHIS CUMMINGS ” Practice Location

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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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